1872.

VICTORIA.

MEDICAL OFFICER.

RETURN OF DISEASES

IN THE

VARIOUS ESTABLISHMENTS UNDER THE CHARGE OF THE

CHIEF MEDICAL OFFICER,

FOR THE YEAR

PHESENTED TO BOTH HOUSES OF. PARLIAMENT BY HIS EXCELLENCY'S COMMAND.

~!! ~ut~orit!! : JOHN :h'ERRES, GOVJ.mNMENT ·PRINTER, MELBOURNE,

No. 42, . .

Prep:traiion--Nil. Printing (776 copies)

1."

• APPROxnrkTl£ COST Ol<' RETUllN.

-.

£ 8. "· 25 J() ()

MEDICAL DEPARTMENT,

Melbourne, 14th May 1872 .

. SIR,

I have the honor to transmit to you ·enclosed hereWi~h, for

the purpose of ·being printed and presented to Parliament, Returns,

as per margin, of Diseases and Deaths w.hich occurred at the several llfeloourne Gaol. Immigration Hospital, Mel•

bourne .. Pentridge Stockade.

establishments under my medical charge during- the year- ended 31st Penal Hulk Sacramenta. ~ Industrial Scbool, A1elbourne.

December 1871. ;

. I have the honor to be, Sir,

Your most obedient servant,

W. McCREA,

Chief Medical Officer.

The Honorable the Chief Secretary,

&c., &c., &c.

" Gaol, Geelong.

Sun bury, Geelong. BaJJarat.

, Custlemaine. ,, Ballurat. , Sandhurst. , Beechworth.

Vlctorlll.ll .A.rtWery Corps •

·•

·•

RETURN OF DISE.ASESo

MELBOURNE GAOL.

RETURN of Diseases and Deaths for the Year 1871.

I lil "

I '0 ~.g '0 .,;

,m .HI "" ... 8~ ~~ ""' "' "0

""' "' .,Jl ~-5 ~" a &~ "" Diseases, ~~ Diseases. ""' .... :z;· u :z;E: l:l'~ .. ~ .,.s

l ! ... o

~i ... ,

~§ ~" ""' "" o<> ~c: ~:3 <1:;:; E-<A !-<U ----1-·-- --CLASS I.-ZYMOTIC DISEASES. Days. CLASS 111.-LOCAL DISEASES- Days.

Order I.-Misasmatic Diseases : continued.

~nanche ... . .. 57 5 ... ... Order 4.-Diseases of tke Diges-aricella ... ... ... 6 9 ... .. . tive Organs :

Erysipel11s ... ... 8 8 ... ... Hernia ... ... 4 2 Carbuncle ... ... 8 7 ... . .. Bromorrh~ids ... .. . 4 8 Influenza ... ... 120 4 ... . .. }'istula . .. ... ... 1 16 Dysentery ... ... 10 5 ... . .. Colio .. . . .. 57 2 Diarrhrea ... ... ... 88 4 . .. ... Dyspepsia'" ... .. . 224 4 ltheumatism ... ... 116 7 ... . .. Hepatitis ... ... .. . a 9 Pyromia ... ... ... 1 20 1 100' Prolapsus Ani ... . .. 1 14

Order 2.-Bntketic Diseases: Order 5.-Diseases of tke Urinary Syvbilis ... . .. 41 15 ... .. . Orqans: · Gooorrbrea ... ... 59 6 ... ... ' Enuresis ... ... ... 10 12 l:itricture ... ... ... 82 23 ... ...

' Order 6.- Diseases af tke Orga1111 .Order 8.-Dietic Diseaaes: af Generation :

Delirium 'fremens ... 132 3 8 2'27 Orchitis ... .. . ... 3 9 Alcoholism ... ... 212 3 ... .. .

Order 7.-Diseases of tke Lacomo-Order 4.-Parasitic Diseases: tive System:

Tamia. ... ... ... 1 18 ... .. . Arthritis ... ... . .. Porrigo ... ... ... 1 115 . .. ... Necrosis . .. . .. ... Worms ... ... ... 5 1 .. . . .. Scabies ... ... ... 95 3 ... . .. Order 8.-Diseases af tke Integu-

--------- mentary 'System : -Total, Class I. ... 982 5 4 0'4 Eczema. ... ... ...

CLASS II.-CoNSTITUTI01fAL --------- Phlegmon ... ...

Psoriasis ... ... ... DISI!ASES. A one ... ... .. .

Order 1.-Diathetic Diseases : Ulcer ... ... };up us 1 3

Urticaria. ... ... ... ... ... ... .. . ... Lichen <Edema 4 12 ... ... .. . ... . .. ... . .. ... Herpes ... ... Order 2.- 'l'ubercular Diseases: Total, Class Ill. Scrofula ... 6 5

Breruopty~{s ... ... . .. ... ... 1 8 ... . ..

Phthisis ... ... . .. 6 18 3 50' CLASS IV.-DilVELOPMENTA.L Abscess ... ... ... 36 8 . .. .. . DISEASES. --1---1- · 0 rder 2.-Diseases' of Adults: Total, Class 11. ... 54 9 3 5'5 J,eucorrh·rea ... .. . ---------

CLA.ss III.-LocAL DisEASEs. Purturition ... ... Menorrhagia ... . ..

Order I.-Diseases of the Nervous -Sy•tem: ' Order 3.-Disease1 of Old People:

Congestion of the Brain ... 1 6 1 100' Debility ... ... ... Inflammation of the Brain ... 1 8 1 100' \

Tumor of the Brain 8 46 1 ' 33'8 Order 4.-Diseases of :Nutrition: Insanity ... ... ::: '40 12' 2 5' Marasmus ... . .. Ditto, temporary or supposed 44 5 ... ...

·Paralysis ... ... ... 5 9 ... . .. 'fotal, Class IV. ... Epilepsy ... · ... ... 19 15 .. . . .. Neuralgia ... ... 87 6 .. . ... CLASS V.-VIOLENCE . Otitis ... ... ... 5 6 .. . ... Ophthalmia ... ... 58 10 .. . ... Order I.-Accident or Negligence:

Wounds Order 2.-.Diseases of ike Organa Fractures ·;:nd Contusions :::

of Circulation : . Sprains ... ... .. . Disease of the Heart ... 2 2 ... ... ' Burns ... .. . .. .

0 rder 3.-Diseases of tke Respira- · Order 5.-E!/Jecution: tory Organs: Banging ... ... ...

Bronchitis ... ... 175 8 ... ... Pleuro-pneumonia ... 1 3 1 100' Total, Class V. . .. Asthma ... ... ... 8 2 ... ... -Pertussis ... ... ... 1 50 ... .. . 'fotal of all Classes ...

i

A:verage daily numerical strength of establishment Deaths per cent. of ditto ... ... ... Oases of sickness per cent. of ditto

23 6 5 5

28 15 62 11 18 14 6 6

111 15 5 8

1~1± .

8 18 4 11 7 3

8! lii

1 42 ----28 12 ----42 '10 44 5 34 7

1 34

1 ... ----

122 --2161

483 3'8

447'41

8 --7

'0 j;j~ ... ~! I tE-< ~gJ

3~ £:2 ""' ~a A~ -----

... . .. ... .. . ... .. . ... . ..

... . .. 1 88'8 ... .. .

... . ..

... . ..

... . .. ... . ..

... .. . ... ... ... . .. ... ... ... . .. ... . .. 7 0'71

. .. ... ... ... ... . .. 1 Hl'IS

... -----1 3'57 - -... ... ... . .. ... .. . ... ...

] 100' -----1 0'82 -- ---16 0'74

6

REMARKS. Th.e average numbers of warders and prisoners in the gaol durin~ 1871 were considerably greater than during the previous

year; thiS re~ulted from the rem ova.! of the female prisoners from Pentridge Stockade to the gaol, in accordance with the recommendatiOn of the ltoyal Comtuis,ion on Penal Establishments. 'l'he number for 1870 averaged 375, whilst in 187l they averaged 483. ~l'he amount of sickness which occurred in 1871 was also greatei' thnn during the previous year; but. the per­centage on the mcrea~erl average numbers in the gaol, though an increase on the previous year, did not greatly exceerl it, whilst the percentage mortaht,y was a fraction less. 'l'he amonnt of sickness which occurred was no indication of the unhealthiness of

• the establishment,. for the greater number of the individuals who suffered from illness were ndmiHed whilst so suffering; the actu.nl number of persons who were taken ill during their sojourn in the gaol was 'comparatively trifling. ·

~ ' . \

CLASS I.-ZYMOTIC DrsEASllS. Order I.-Miasmatic Diseases. Under this head t.he affections ofthe.throaCwere somewli:tt ntimerOlis;bufof'short duration, the disease yielding readily'

to prompt treatment. There were a con•iderable number of cases of inflnenz•, occurring principally among the female prisoners . who were a.t work in ~he sewing-rnom, the result-of good feeding and little exercise; the disease was very mild, and easily cured by approprmte treatment. 'l'he Zymotic diseases of .the alimentary cnnnl, diarrhom an"d dysentery, were numerous, but very short in duration; the cases of dysentery averaging only five: days in t.heir ewe: and tho'e of dinrrh<fla only four days. 'l'he cases of.rheumatJsrn were numerous, but not j:(enerally.import,nnt; they were all chronic cases, the acute case of rheumatic fever·

, bemg placed under the heading of Arthrit,is, in CIRss,.,IIL, Ordm;. ]. 'J:he fat.al c~se of pyromia occurrerl in a Chin•man, and supervened afl;er a series of operations which he had undergone for the removal of thniors on the sc•\lp, previous to and after his admission to·the.>gaol. . ··· ·

· 'o·r(ter'2.-Enthetic Diseases. : The cases of venereal disease were not numerouF, and were in most cases .very tractable to treatment; the mode of

tre~tment ,adopted for·go~orrh<fla.e•pecially provin~ v~ry successfill, the curs avei'a~inll. only six <lays .. Uomidering t.hat t~e g~eat bulk of the female pr1soners m the gaol are ])rostii.utes, and that a lar~e proportion of the male pnsoners·usunlly cohabit W:Itti the .prostitutes outside the gaol, the number of persons. affected with vllri.ereal· disense in t.be gn.ol would give a good i1,1)iication of the actual number in the colony, which must therefore b'e small in coiuparison with other countries .

. Order 3.-Dielic Diseases. .. · 'The princl'pal disease of this order is delirium tremens, the numbers of which :idmitted to t.he gaol n.re always considerable and generally 'eve re, care being taken to separate all cases nctunlly delirions from those who are suffering from alcoholism, though .these latter often border yery closely on the gmver disease. · 'J'he- mortnlit.y from delirium tremens in t.he Melbourne Gaol is wonderfully small when compare<! with that of othor·countries, or oven with the Melbourne Hospital: This is owing; in A"reat measure, to the absence of all stimulants in the treatment, anrl to the free nse of c·o]d a!fusion over the head. 'l'his latter remedy, which 'is usually con<lemned by iA'nornnt people ·as one 'of g'reat severity,: is really, in most insl.anees, jusl,"tbe· reverse. A record k~pt in;·the !'!!Ol of !59 ca•es of delirium tre]ni)ris and alcoholism treat.ed b.v this mode durin·g the yen.r shows that in 131

, cases t.he remedy. was very agreeable to.the sensations of the patient, whilst in.38 only was it, found rlisngreeable. · 'l'he ci•e> of in.temP.erarce were also very numerous. 'l'hese cases we're in former returns placed under tho heading or Dyspepsia, C!tiss Ill., Order jl.; but it is d_ee:med b~tter to place them· along~ide those of delirium tremens, ~!i which ·they· bear a closer' hise.mblance, the causes. of both dtseases bemg the·sarne. · , .: .: , • · , . . , .

1 • Order 4.-Parasitic Diseases. . - The cases of scabies are tbe most-promine~t ones under this heading; theY. were considerab.Jy less rimherous.than during

the preceding year, and yielded very readily to treatment, their cure only averaging three days. . ' ·: • ; ~ - ! ' . . '. '.. .. ' .

CLAss H.-CONSTITUTIONAL DISEASES. Order 2.:-Tuoercular ·.Diseases. Of these ~ise\ls,es, w~ich were not numerous,. phthisis was .the m()st (mJ!Ortan.t, .S\x cas~s of thE! disel!-se ·were ·under

treatment, of whtch ttiree dted ; they were all hopeless cases, in'.an advanced st~g~ of ~he dts~ase when ad ruttted:

'CLASS III.-I,ooAL DrsEiims. Order 1.-Disea.•es oi tke ·Ne'l'!!ous System. , . .In this class the cases were numerous. Two fat~! cases of (iisease of t.~e .b.rain occurred. One, in a ·man 40. ·years of

age, was a remarkable one.· Whilst under treatment· for anot;ber disease, in tlie hospital, he was suddenly seized with epileptic fits and symptoms of brain disease, and died eight days afterwards; the posl inortem. showed inflammatilln of. the brain. ·rrhe other <;ase was that of a young man, 21 years old, who had been under treatment for seveml diseases durin!'( the six months he was in gaol, and, immediately previous to his fa tar attack, was convalescent' from 'diarrhcea. He. was suddenly seized with stertor,ous breathin~ in,the evening, and died the next morning; the posl morlen~showirig great congestion of brain, lungs, kidneys, and intestinal canal. n'he cases of insanity were numerous. 'l'he benches of magistrates in and arounrl Melbourne. are in the habit of remanding ·persons suffering from mental aberration to the g~tol for medical enqi1iry for a week, in order to ascertain whether tbe:v are really insane or not; at the end of this' period the insanity'is either found to be t·emporary or permanent. 'l'he numbers in Lhe"H.eturn show that abrmt half of those thus sent got well in the .time SQecified; and are discharj:(ed; t.he ot.hers are sent to the asylum. Of thci two fatal cases which occtirred, one' \vas n girl,·nged 26;wh0 .showed symptoms of rliseuse rif the brain; the other was an old man, over 70 yea.r~ of age, who died of senile deinentia. A remarkable c11se of brain rli,ease.occurred, whicu terminated latully after a very short illness. A womari, 24 )'ears of n~e, was admit,t'ed to l10spit.al al. 3 p.m. on tile 29th' July, with sym!Jtoms of gast.ric derangement nnd headache; she died .at 6.30 fl.IU.; a post morlem,ex:aminati(ln show,ed her death. was caused by. a turuor in the substance of the brain about the size of a small egg. 'l'here were a considerable number of cases of epilepsy'a.nd neuralgia in exce.ss of the previous year; they were, however, regarding hotu diseases, very amenable to tre~tment;

Order 3.-:-Diseases of the Respiratory Organs.· ~

' 'A Jar~~· incre~se in c.ases of bronchitis occurred during tbe year, the winter rr\.onths being wetter and colder than U§!Ual •. ~-case ofpluero~pneumonia wit,h heart complication occurred, which ran a.ver.y rapi~ conrse·an~ .tluded fatally.

. . Order 4.-Diseases of -the Dige.•fi.ve Organs. · The cases of dysp~psia were most numerous under this h·~arlin'g, but of fittle importance 'l:ieyond their !lumbers. Three

cases of hepatitiS occurred, one of which, complicated with previous hmg disease; was fatal after four days'·illness; tile. liver was found ,in a very diseased condition, the result of reo~nt and previous infifmmation. • ,

i ; · · Order i.-Disease! of !the Locomotive System, - . .. . · ' :There was ;a gre~t increase in the numbers of acute rhe1umatism of the joints' (arthritis) this year; they were, hOwever, very amenable .to treatment. Tbe use of blisters, in nearly every case, proved very .valuable in reducing at once the pain and swelli*g attendant on this pistressing malady. · ' · 1 • ,.,

! ' ; j ,,, j . ·. l Ord~r 8.-Di~eases of t~e In~egume~tary Su_!tem~ . , :,, .There was a great m crease, compared with the previous year, m these complamts ; generally they were ummportant, but

some Of the eases of ulcers 'of the lower extremities were very severe. Many of the vagrants who suffer from these diseases t.;tke no care oNhem ·when' they: are out of gaol, and the consequence is, when they are imprisoned, the whole period of their:sentence is taken up in curing them. · · ·. ' ·

CLASS IV.-DEVELOPMENTA.L DISE.I.!ms. Order 3.-Diseases of Old ·people. One case of debility, in a woman above 80 years of age, who bad been i u the gaol hospital for years, but who was .a ·proper

object for the benevolent asylum, terminated fatally, without any appa~ent disease. · " . ·. :

CLASS V. Order 1.-:A.ccidents or Negligence. The cases of wounds under this heading were numerous, but in most oases very slight i some 9f them h,aving been

inflicted before admission to the gaol, some occurring from accident on the works, The fractures were few and very unimportant, !illd all of ~hom ooourre4 provlow; to admission ~nto the ~e.ol, · ·

W. MoOREA, . Oltiof Medical Oftloer.

I

7

IMMIGRATION HOSPITAL. I' .. ,)

.. ' l -·

~ .. 1 .RETURN ... of Diseases ·nnd· Deaths for the Six Months ending 30th June 1871.

. . Dlseitses. (.

CLASS I.-ZYMOTIC DISEASE~. Order 1.-Miasmatic Diseases:

Catarrh us 1

, Total, (Jluss I~ , ...

CLASS II.-,-CONSTITUTIONAL l DISEASES. .

Order 2.-Tubercular Diseases: ·Morbus Coxre ' ... · ... 1

D:J.ys.

2

2

181

D!scn.scs.

Cuss III.~LocAL DISEASES-continued. ·

Order 7.-Disease of Joints: Neorosis ... ...

Order 8.-Diuasea of the Integu­mentary S;qstem:

l'hlegmou Whitlow ...

'l'otal, bass IlL ... __ , ______ _ CLASS IV.-DEVELOPMENTAL

DISEASES .. Total, Class II.

CLASS HI.-LOCAL DISEASES.

Order 3.-Di.seases of the llespi- 1 ratory System: ; Bronchitis'

1

1

J8i

5

Order 2.-Developmental Dis­eases of Adults: ,

Parturition

'l'otal, Class IV. ...

Total of all Classes

REi\(ARKS.

-d ll g ~~ ... ..,g "' 0

"' s~ s . ..... :;>!'-< ,o "00 P.(l)ai Z<:l ~-5 oofg~ ,~ ~§

~8~ ~o .SA ~'0 ~0 Ao(IJ -------.

Days.

1 181 ... ...

2 2 I ... ... 1 12 ... ...

-- --·-----5 :40 ... ... --__ , __

---

2 19 ... • .. ---------2 19 ... ...

9 47

'l'he eases treated in the Immigration Hospital during the first six months o'f. the year 1871 were few and not of a character to caJI for any special rernarks. . ., , 1 ·

'!'here were no deaths. - · ·. . There were only two patients on the 30th June; one-a· boy from the Reformatory ship, suffering Crom hip disease-was

disoh~rged to his.friends, the o_ther from the Industrial Scln/ols-~ho had been aninmnte of the hospi~al f?r a long- time, euffermg from a swular complamt-was transferred to the Industnal School, St. Ktlda road. The Imlutgratwn Hospital was then finally closed. · I · · ' ' '

., . T. F. MoGAURAN. · Medieai Officer.

PENTRIDGE STOCKADE.

RETURN of Diseases Treated in Hospital at thePenal Establishment, Pentridge, during the Year l871.

.. .... "' .... i 'S "0 ..: 0 .Sl 0 a "' ~;I i 0 (;)

~ ....

" " .c ..... 1 1 ~~ Diseases. ~ A" "o .Diseases. .,o :~ ~ "' . I z ~ :::~ z .Z_3 .a~m

3~ ~~]· I . ·.· li ~1l] '"' 2J, «10 o1i .<'6 o<> " " E<o Hi=! l=ioiil ~~ E-<A A~ra -- ·----- ·-Cuss I.-ZYMOTIC DISEASEs.

Dar,s. CLASS II.-CONSTITUTlONAL Days.

Order !.-'Miasmatic Diseases: DISEASES-continued.

Erysipelas ... ... 3 7 ... ... Order 2.-Tubercular Diseases: Boils and Carbuncles ... 9 8 ... ... PhU1isis . .. ... 4 122 1 25' Inilue11za ... .... ... 49 6 ... .. . Hromopty'~is ... .. . 5 6 ... . ... Cynanche ... ... 2 4 ... ... Abs.oess ... ... . .. 6 18 ... ... Dysentery ... ... 4 17 , .. ... --Diarrhooa. ... ... 19 6 ... . .. Total, Class II. ... 29 26 1--=- 8'45 Febricula ... ... 1 9 ... .. . Rheumatism ... ... 42 18 ... . ..

Order 2.-Enthetic Diseases: CLASS III.-LOCAL DISEASES. Stricture of Urethra .... 18 25 .. . ... Dysuria ... . :. ·~ ... 6 19 ...

' .. . Order 1.-iJiseases of the Ner-

Order 8.-Dietic Diseases: vous Sysiem: V ol un tary Starvation ... 1 6 ... ... Congestion of Brain . .. 8 14 ... . ..

Otitis 2 5 Verl.igo :::

... . .. ... . .. Total, Class I. ... 154 12 ... ... . .. .. . 8 5 ... . ..

Paralysis ... ... ... 8 128 ... ... CLASS H.-CONSTITUTIONAL }Jpilepsy ... ... ... 13 7 1 7'7

DISEASES. Brain Disease ... . .... 5 117 4. so· Order 1.-Diatketic Diseases: Ophl.halmia ... . .. 13 14 ... .. .

Anremia ... ... ... 4 .4 ... ... Neuralgia .. . ... 3 4 . .. <Edema ... 1 28 ... ... Deafuess ... . .. • ... 3 4 ... . .. Gout <Rh·e~mo.tic)" ... 8 i4 ...

I ... Hypochondriasis ... . .. 5 5 ... . ..

:Polypi of Nose ... ... 1 4 . .. ... Dementia ... ... 8 89 . .. . ..

8

RETURN of Diseases Treated in Hospit~ at the Penal Establishment, Pentridge-continued.

Cuss III.-Locu DISEASES-. continued. Order 'l:.-Diseastl$ of the.Organs

of Oirculation: Heart Disease ... Palpitations Endocarditis §yncope ... Varicose Veins ...

Order s.-Dis~ases of the Respi-rato·ry System :

Bronchitis ... Pleurisy ... ... Congestion of Lungs Asthma ... . .. Luqg Disease ... Pneumonia.

Order 4.-Diseases of the Diges­tive Organs:

' Hremorrhoids ... .. . Hernia ... ... .. . Fistuta. ... ... .. . Ulceration of Intestines ... Dyspepsia ... .. . Rectum Disease ... .. . Stomach Disease (Organic) Liver Disease .. . .. . Ileus ... .... . ..

Order5.-Diseases of the Urinary Orrfans: -

Kidneys, Congestion of ...

Order 6.-Diseases of the Organs of Generation:

Orchitis ... . .. fulermatorrhcea Hydrocele ·'

Order 7.-Diseaties of the Joints: Diseased Femur ... ... Ostitis ... ... . .. Sciatica ... ... . ..

6 1 2 4 4

6 1

11 20 2 2

10 7 5 1

136 1 1 1

• 4

1

3 1 1

1 1 3

Days.

17 ,5 11 3

16

27 8

18 33 44 20

14 9

16 175

5 66 9

12 6

11 5

17

31 9

15

'"'···

.• 1 16'66

100·

CLASS lll.-J.JOCAL DISEASES­continued.

Order a.-Diseases of the Integu-mentary System:

Wbitlow ... ... .. . Ulcer ... ... .. . Skin Disease (Eczema, Acne,

• ' Herpe8, Prurigo-faciei,and Psoriasis) ... .. .

Phtegmon ... , .. .

Total,· Class Ill .. ..

duss IV.-DEVELOPMENTAL 'DISEASES.

Order 3.-Developmental Diseasee of Old People:

Old Age

Order 4.-Developmental Diseases of Nutrition :

Debility ...

Total, Class IV. • ..

CLASS V.-VIOLENCB.

" Order 1.-.J:ccident or Negligence: Fracture... ... . .. Sprain ... ... .. . Burns and Scalds... .. . Other Accidents ... .. .

Order 4.-Suicide: Attempted Suicide

Order 5.-Violence: Injury to Brain from Vio-

lence ... •.• ...

Total, Class V.

Total of atl Classes

1 2

2 1

311

3

11

14

])aye.

89 13

.17

19

8

10

1 102 3 29 1 4

16 8

2 28

1 3

24 15

532 16.

Average daily numerical strength of the establishment 718 Number of !J&Ses of sickness per cent. thereof 74'1

Number of deaths per cent. of ditto, ditto 1'1

Number of cases treated in establishment:­Internal, 582; external, 2044 ...

.A,;verage daily number of patients in hospital

REMARKS.

The number of oases treated in hospital during 1871 was Number of external patients

. Total, internal and e1;ternal

532 ' 2044.

-2576

Among ·these there was not one case of infectious illness, no case of severe accident, no c~tpital surgical operation.

7

8

2'26

1'5

2576 20

There were three oases of dementia, two of w"hich were transferred to Yarr:l. Bencl; the third, though under warrant for that place, was not abte to bear removal wben sent for, and he died in hospital here. A Chinaman unsuccessfully attempted .suicide (in real earnest) by hanging himself. An English sailor unsuccessfully attempted suicide by opening his veins with pieces of a gtass bottle and by other means; he, however, was not in earnest. . . · .

An old prisoner (aged 50) suffering from gen·eral paresis depending on softening of brain, and reduced to a skeleton, clambered down off the hospital balcony; and was found lying on hard ground after a fall of twenty feet; and, strange to say, was but little injured by the fall, though from marks on his sca.lp it was evident the head had oome heavity on the ground. This man meant to kill himself. •

. There were eight deaths during the year; one of these was from phthisis, one from·,sohirrus of the rectum, one from double bronchitis, four from diseased brain, and one from epilepsy. The origin of the disease in one of the cases of diseased brain was, the centre of the os frontis being driven in many years ago by a marlinespike. Two sword-cuts, many years since, on the middle of the teft parieta.l, originated the disease, which ultimately proved fatal in a.nother of the cases of diseased brain.

The fatal epilepsy case deserves comment. The man was 53 years of age. The disease commenced a year before his death. In each fit he would be for a short time insensible, and the convulsive movements would be confined to the muscles of his face and throat; the fits were neither frequent nor severe. 'J'he man habituatly slept witb. his head ctosely ·covered by the blank!)ts, and this latter fact it was which caused his death by suffocation during a fit. In every clearly ascertained case of epilepsy, it had been invariably my custom to keep the indivi<lual at night in an associated ward, where. gas was always atightl and there was a trained attendant. In spite of strenuous objection~·on my part, ll.S recorded in my evidence before tbe ltoya Commission on penal matters, this arrangement was changed, and the epileptics put to sleep in separate cells. 'J'he death of this man, in a few months after the change, was the result. Now my former custom, of keeping epileptics in an·associated ward, is again resorted to. · ·· ·

Hospital, Penal Establishment, Pentriqge, 13th February 1872. J. REED, M.D.,

Resident Surgeon.

9

PENAL HULK "SACRAMENTO," RIVER YARRA.

RETURN of Disease<; an.d Deaths for the Year ending 31st December 1871.

. Diseases. Diseaoes.

-----------1-- -- -----CLASS l.-ZYliWTIC DISEASES.

Order I.-Miasmatic Diseases:

Quinsy ... Carbuncle, Boil, &c. Influenza, Coryz&, Catarrh,

3 5

4 6

CLAss III.-LocAL DrsBASBs.­. continued.

Order 2.-Diseases of the Organs of Circulation:

Heart Disease, &c.

&o. ... ... ... 37 5 3 3 4

8

Order B.-Diseases of the Respi­

' ratory System: Dysentery Diarrhooa Ague ... Rheumatism Others, including Mumps,

&c. ... ... . ..

Order 2.-Enthetic Diseases : Syphilis ... . ..

Order 4.-Parasitic Diseases. Worms· ... ...

Total, Class I.

CLASS H.-CONSTITUTIONAL

DISEASllS,

Order 1.-Diathetic Disease8: 'l'umor

Order 2.-Pubercular Diseases: Scrofula ... ... . .. Hremoptysis Others, including Abscess,

&c. ... ... ...

Total, Class II.

50

34 3

18

10

4

2

165

18

6

4

Bronchitis

Order 4.-Diseases of tlul Di­gestive Organs:

Hernia ... Constipatio Stomach Disease, Dyspepsia,

&o. ... ... . ..

Order 5.-Diseases of the Urin­ary Organs:

Kidney Disease, &o.

• ------- Order8.-Diseaseso/theintegu-

1

1

2

1

1

4

11

4

------:-5 6

mentary Sustem: Ulcer ... Psoriasis, .Eczema, &c.

Total, Class III ....

CLASS V.-VIOLENCE.

Order 1.-Accident or Negligence:

Fractures and Contusions .. . Wounds... ... .. .

7

2

10

62

2

3 9

99

28

22

Days.

3

10

8 2

4

5

7 9

4

8 6

-

1 14'28

1 1'01

:---1---1--

Total, Class V. ... ! 50 7 CLASS III.-LOCAL DISllASllS.

Order l.-Disea8es of the. Ner· vous System: ·• Neuralgia, Ophthalmia, &c. 3 3

I

Averafle duily number of prisoners and offioers on board Number of oases of sickness per cent. of ditto Nu m her of deaths per cent. of ditto

REMARKS.

Total Number of Cases of Disease and Death 319 5

93 343'

1'07

1 0'31

. The number of cas.es. of sickness on board the Sacramenlo in 1871 closely approximates that of 1870, the number in 1871 be1pg 319 to 314 the previous year.

'l'he peculiarities worthy of note are the large increase in Zymotic diseases in 1871, and the great decrease or diseases of the digestive org>nis during Lhe sau.e period. In fractures and contusions there is also a marked diflerenoe, there having been in 18{1 only 28, as compared with 55 in 1870. ·

In 1871 there has been but one death; ·this occurred in the case of a Chinaman, who was of weak constitution, and who died of bronchitis. ·

ANDW. PLUMMER, M.D., ol s 172. Medical Officer in Charge.

IN:QUS;r'RIAL SCB;.OOL, MELBOURNE.

Rl:'TlJRN of Diseases and ;D.eaths fm: the Year 1871.

- .. .,. ··-~·

':5 'S ~~ r ..• iJ 8~-: '. ~ ' .0 ..

' Di~~Jses: ~ ,__

' ., o • Diseases. ~ : z .; "'"' '•f ·•:. -~: d£ ~~ .. ' l ~d ~:,.) ~ ~.~· O" A"FJ ... !=< " h---------------------

. , I !

CLAss I.-ZYMOTIC DrsEiASl!s,

Order'l.-MiaSinatic lJiseases: Varicella, ... C)•nanche Croup ·... . ... . ...

. Hooping-cough ... ... Fever (Common, Continued,

'and Remittent)... 1

Ervsipelas '- ... ·Dysentery Diarrh<ea

· "ltheumatism Ophthalinia

... I

Order,2.-E1ftketic 'piseas~s: .. Syphilis (Congenital)

' O'rde; 4.'="'-ParasiticallJiseaslis 1

Scabies · ... . .. Ringwor-m of Scalp I t. •i ~pe1go .. , ....

Total, Class I.1

. CLASS II. +- CoNilTITUTIONAL

I Days.

20 14 7 7 2 '4

88 ·101, . 5

29 12 1 1' Q 1 3 .'15

45 20 '9 2 14 ...

209 48

·20

20 26 26 42 .•.

184 50

--49 16 .

'

' 5'6 ;i ,.

CLAss III . ....:LocAL: DrsEAims- . c&ntinued.

Order.3.-1Jiseases of the lles:Pi­rato?"!/ System:

Bronchitiis Emp_Yen:la

3'4 i 100' Order' 4.-l)iseases of the lJiges-

tive Organs: i · I

---2'5

Gastro-duodenitis ... Prolap~lis Ani Dyspepsia :· ... Jaundice

Order 7.-lJiseases of the 'Loco­motiv.e System :

Necrosis ... ... Order 8.-lJiseases of the Integu-

mentary System:

Phlegmon Paronychia

· U:lcers .... Eczema ...• Psoriasis ...

-

Daye.

16 '12 1 249 1 100"

.1 1 . . 1· 100' 4 14

'1 3 1 10

1 ~0

11 15. . 4 18

. 85 28 20 28 12 40

DISEASES. . ----1--11---Ordet 1.-lJfdtketic l)~~ases:

Tumor i .. . ;.r~~al, Class III~: ...

1 11 7'9

Anasarca .. . 20

'1 145 1 100' --.1------Cancrum Oris

t \ l ..

Order 2.-Tubercular lJiseases: r Scrofula· ...

.Morbus ·coxre , I

.Total, Class II.

CLASS III.-LOCAL DISEASES:

Order 1 . ..:.:.1Jiseas~sof the Nervous Sys,tem: i

Spinal Diseases . Chor.ea I ... ; : ...

Neuralgia , ... · ·• Congestion of Brain

Convulsions Otorrhooa

25

1 1

--29'

2 . 1

4 8 2

,13

9 6

6· ~98' 1

--24 8

15 ... :, 10! 4 •• ,

4 22 6 1 2

60'

24'

. 100"

---27'6

75' 100'

! /

CLASS IV.- DEVELOPMENTAL DISEASES.

Order 4.-lJiseases of Nutrition: .Marasmus and Debility

Total, ,Class IV.'

Cuss V.-V~oLENCE.

Ordm: 1.-:-Accident or Negligence 1

Fracture ... Contusion Wounds .. . Scalds

1 .. .

,Total, Class V.

I. 37 i 40 . 8 ·21'6

2 70' 4 22 1, .4 5 ·14 ...

12 25 . ' 'O~dei' 2.-lJise~sesoftke Organs 1

-~ _.Ci~c!f'l.al_ion : -------·--_.Endocarditis. 30 1 50' Total of all ciasses

Average daily nurnerical·stren~t.h of establishment ... Cases of sickness per cent. of d1tto ... ·... ,., Deaths per cent. of ditto ...

REMARKS.

426 . 200'

10'09

854 44 43 5'

. -It is apparent from the accompanying ltAturn that the.liealth of the childre~ in the Melbourne Industrial School was

not quite so· satiSfactory in the year just ended as in 1870. 'l'his I attribute to tbe close·proximity of the hospital to the swamp · · which lies between ·the l!arrucks and Emerald 'Bill, anif 1 hope will be remedied hy the removal of the sick children to the

building nearer tile St. Kilda road, which is now being prepared as' a hospital for their reception. · ·

.!' As usual, Zymotic diseases furn.ish the largeo;1; number of ca~es .• Ofhoopin)<'-Conl(b, there were eighty-eight cases; five of which, complicated with other disease,, en lied ·fatally. One deal,h is recorded from ery;;ipelas of a peculiar chara:nter, in a young inf,nt on the b•·east 'l'he ophthalmic cases, aiLIHH!!!h tediou>, wHe not of a purulent chnr!jcter, and in no in'sl.>n)ce al,te~rded

·with injury to sight .. One girl, of somfulous diathesis, sucoutubed te disease of the hip joint. 'l'he little boy,.whose case had been ment1oned in form!lr retqrus !IS S\\ft'eriniJ so long from empyema, tlOt a fresh nttaok of pleuritis and died. ·

. . . T. F. MoG.AUR.ANJ.. · Medioo..l·vtlloer .

. (

11

INDUSTRIAL SCHOOL, SUNBURY.

RETURN of. Diseases and Deaths for the Year..l871.

Discuses,

CLASS I.-ZYMOTIC DISEASES.

Order 1.-Miasmatic Diseases: lloil ... ... ... Chicken-pox ... . .. Croup ... ... ... Diarrhooa... ... . .. Cynnnclle and Catarrh ... Febricula.... ... . .. OphthalmiaandEyeDiseases Rheumatism ... ...

Order 4.-Parasilio Diseases: Scabies and Ring\Vorm of

' I

~ ... .; ilE "'" se !>;E<

-"' l.5 ~ 0<1 r,.o

2 4 1 1

83 2

84 2

~·

~~ ... "' .c Ooo s !.~ " z "'"' ,om

~ d •

~;: i ~ 0" ----·---

Days.

7 ... ... 21 ... . .. 4 ... ": 8 ... ... 9 ... ...

30 ... ... 25 ... ... 26 ... ...

the Scalp, &c., &c. ... 342 20

Total, Class I.

Cuss 11.-CoNSTITUTIONAL DISll..!,SES.

Order I.-Diathetic Diseases: Cancrum Oris

Order 2.-Tuliercular Diseases: Abscess .. . Scrofula .. .

Total, Class H.

CLAss' III:-LOCAL DISEASES.

Order 1.-Ner?Jous Diseases: Meningitis ('l'ubercular) ... Cephalgia ...

Order S.-':"Circulllfory System: H~art Disense ... B;pmorrliagic Diathesis

Order '3.-llespiratory System: BronchHis -... ... Pleurisy ... ... ... Pneumonia ... ... E pist•1xis ... ... · . ... Congestion of Lungs ...

----1----471 20

1--------

4 14

6 14 1 11

. 11 ! 14

1' 5 1 13

1 15 2 95

1 14 2 lll 8 17 5 14 1 12

1 100' ... ...

~"··. ...

... ...

. .. ...

.. . ... 2. 25'

... ...

... ...

Average daily strength or'establishment

Disenses.

CLASS III.-lJOCAL DISEASI!S-continued.

Order 4.-Digestive System: Her.nia ('rrauinatic) ... Gastralgia · · ... ... Jaundice ... ... ...

Order 7.-Locomotive System: Knee-joint Disease ...

, Synovitis ... ... ...

Order 8.-Integume":tary System: Chilblains ... ... Onychia ... ... ... Ulcer ... ... ...

Total, Class. Ill. . ..

.. CLASS IV.- DllV:Jli,OPMENTAL

DISllASES.

Order 4.-Diseases of Nutrition:

Debility ... ...

Total, Class IV. • ..

.CLASS V.-VIOLllNCE;

Order 1.-'-.dcoident or Negligenae:

Contusions ... Burn and Scald .. . ·wound (Incised} .. . Drowning (Accidenta\)

Total, Class V.

Total of·all Classes

N u'mber of cases of sickness per cent. of ditto ... Number of deaths per cent. of ditto ....

REMARKS.

~ .; ~ ... .,; d~ ...

"" ~o "' .o~ " ,Q

S2 A 8 ~8 " zm oo:l! _., --" ~ .. ~ G3 ""' "~ ~"' ~d

"~"' ·88 0<l) ;::, 'S ~ <-<A ------

Days.

1 22 ... . .. 2 6 ... ... 1 5 ... . ..

2 94: ... ... 1 31 ... ...

9 14 .. . ... 1 52 ... . .. 5 23 ... .. .

3 6'82

--~------

1 36

-1---1 36

2 2 1 2

15 55 9

2 100' i ________ _

7

533

748 71'25 0'67

21 .

20

28'57

5 0'94

Five deaths occurred during 1871; three of these from disease, the other two from accidental drowning while bathing": thus showing the same numher. of deaths from disease as in 1870.

The insl,itution kept free from hooping-cot;gh, although this affection was prevalent in the country. The same remark applies to diphtheria, not a single case having oooqrred durlnl! tile whole year,

. , . A, SRIELDSi

Medical Olllcor,

12

INDUSTRIAL SCHOOLS, GEELONG.

RETURN of Diseases and Deaths for the Year 1871.

'l5 ·~ ... ,; ... ,!;>: ~C) " ".c .0

Diseases. a~ A;;; ". 8 s~ Diseases. Z'-" ~.<.:J- :z;:S ....

"'" :Sill ·eca " .o;oo . <il" ~·d • I "" ~~

dt;,)::; o::l ,..0 I A-" Eo< c.> ~~ o<:: ----- -CLASS I.-ZYMOTIC DISEASHS. Days. CLA.ss III.-LocA.L DISl!A.SEs-·

Order I.-Miasmatic Diseases: continued.

Measles ... ... 2 9 ... ... Order 3.-Respiratory Disease~: Scarlatina" ... . .. 1 14 ... . .. Pneumonia. . .. Quinsy ... 11 7

... ... ... ... .. .

Croup ... ... . .. 2 3 ... . .. Order 4.-Diseases of Digestion: Hoopin,:(-oough ... ... 27 67 . .. ... Jleus }Jrysipelas ... ... 3 12 . .. ... Dyspepsi~ ..

... .. . Catarrh.· ... ... ... 34 18 ... .. . ... . .. Dysentery ... ... 8 37 2 25" Jaundice ... .. . Diarrhrea ... 6 19 . .. ... I llremorrhoids ... . .. Remittent Fever ::: ... 167 19 ... ... Order 7.-Diseases of Locomo-Rheumatism ... ... 3 8 ... ... Conjunctivitis and Entro· tion: '

f~~~· s.:.uint'a~~ Staph:.~ Arthritis ... ·. ... ...

123 4 ... ... Caries ... . .. . .. ' Order8.-Diseasesof Integuments:

Order ·.2:-Entketic Diseases: Hereditary Syphilis

i Whitlow ... ... ... ... 3 97 ... .. . Ulcer ...

- Herpes a~d Ps~ri~~is ... Order 4.-Parasitic Diseases:

Worms ... ... ... 3 8 ... . .. •rota!, Clas~ III. Porrigo and Scabies ... 38 37 i ... . .. ...

-- -------Total, Class I. ... 431 19 2 0'46 CLASS I'V.-DEVELOPMENTAL

DISEA.SES. -- -------- Order I.-Diseases of Okildr:n: Club-foot ... ...

CLA.SS II.-CONSTITUTIONA.L DISEASES.

Order 1.-Diathetic Diseases : • 'Order 4.-Diseases of Nutrition:

Noma and Cancrum Oris ... 20 7 ... . .. Debility ... ... .. .

Order 2.-Tuliercular Diseases: •i

Total, Class IV. Scrofula ... 2 290

... ... . .. . .. . .. Abscess ... ... ... 58 4 ... I . ..

·-- -1--Total, Class II.

CLA.SS 'V,-VIOLENCE. ... -so 12 ... ...

Order 1.-A~dent or Neglect: --------- Wounds ... Burns and Scalds:::

... ... CLASS 111.-LOCA.L DISEASES,

Order I.-Nervous Diseases: Total, Class V. ... Paralysis ... ... ... I 98 . .. . .. Insanity ... ... . .. 1 365 ... . .. Convulsions ... . .. 2 5 2 100' . Neural~ia ... ... 1 7 ... . .. Total of a!J Classes . ..

Average daily numerical strength of establishment Deaths per cent. of ditto Cases of sickness per cent. of ditto

REMARKS.

I

'l5 ~ ~~ ~~. i:~ 8 A'§ "'' <:;ao

s ~ s . &~ ~~ ~g ;;;!l :z;:;;

"'"' ~"' o'l;l :s~ .c"'

"" ~§ """'«! ul b,~ a:~ !-<<:; ~:a ~'?j A o" -------

Days.

2 10 2 100'

8 2 2 . 2 6 5 1 3

6 10 7:14 14 1

2 20

15 280 ' 1 6'66

17, 250 5'88

---·---__ ,;_ ---

10 5 5 17

15 9

433 1'85

148'03

25 8

At the Myers-street school we have had 187 cases of sickness with 4 deaths. At Ryrie street, 454 cases with 4 deaths. The children at the latter school are, on the whole,· inferior in physical oondH,ion to thnse in Myers street. '!'his is

because those sent to Myers ·street have been i" picked" in good healtli, whilst Ryrie street, from its first estt>blishment, has been a sort of" sanatorium" for the sickly and delicate. '

Of the 8 denths recorded, 2 were from dysentery, 2 convul8ions, 2 pneumonia, 1 from spinal disease, and 1 from debility arising from hereditary syphilis. , ·

l'here has been no epidemic in either school. CRAS. '£. MACKIN, M.D., Medioal.Offioer.

13

BALLARAT INDUSTRIAL SCHOOL.

Return of Diseases and Deaths for the Year 1871.

'0 ~~ ..

~~ 0

!J [;)

"' E;~ "' orn .. s ... ~ "'" E ~;-

Diseases. ~ "o Diseases. ..~ " o." z ., :; ~' ~! Zoi .,g: 'd ~·

.c~ -;5 ~~m ~".

I

..,o ~0~

' "" o:ti . 1><> i;l...,Q ~ 0 A-o~ E-A : 1-<C" '<:a E-<A -- --··---___ , __ , __ --

Cr,Ass I.-ZY:r.rorlc DisEASES. Days. CLASS III.-I,oc.u DISEASES- Days.

continued. Order I.-Miasmatic IJiseases: ;

Order 3.-IJiseases of tke Organs Quinsy ' 10 10 of Respiration : ... ... ... ... .. . Group ... ... ... 1 1·1 . .. .. . Bronchitis 1 6 :Boil 4 13 ... ... ... .. . ... ... ... ... . .. Influenza ... ... 4 13 ... . .. Order 4.-IJiseases of tke IJiges-J)iarrl:trea ... ... 2 6 ... .. . tive Organs : Fever ... ... 22 14 1 4'54 Rl:t e u m a ti~'m ... ... 2 12 ... .. . Stomach Disease ... ... 1 46 ... .. . Parotitis ... ... ... 1 6 ... . .. Jaundice ... ... ... 1 20 ... .. .

Order 7.-IJiseases of the Loco-Order 4.-Parasitic IJiseasea: motive System:

Scabies "' ... i9 : 9 ... . .. Arthritis ... ... ... 2 17 ... .. . Impetigo::: ... ... 20 36 . .. . .. l'orrigo .... ... ... 5 31 . .. .. . Order 8.-IJiseases of the Integu-

- 1------ mentary Sysjem : Whitlow ... ... ... 8 30 ... ...

ToLal, Class I. ... 90 18 1 I'll Ulcer ... 2 35 ... ... I Skin Dise~~es ... ... 12 26 ... ... ---- ----- -----------

CLASS II.-CONSTITUTIO~AL Total, Class III. ... 119 23 ... ... DISEASES.

~---------Order 1.-IJiatlutic IJiseases : CLASS IV.-DEVIILOPMRNTAL

DISEAS:KS, Noma ... ... ... 31 33 ... .. . Order 4.-IJiseases of Nutrition: I

Order 2.-Tubercular IJiseases: Debility '" ... ... ! 4 26 ... ... Abscess ... ... ... ll 10 ... ...

--------- 'l'otal, Class IV. 4 26 ... ... . .. 'l'otal, Class JI. ... 14 15 . .. ... ·----- CLASS V.-VIOLENCR. ----J--

' Order 1.-Accident or Negligence:

CLASS IlL-LocAL DrsKASRS. Contusions ... Wounds ...

Order 1.-IJisea.~esoft'he Nervous J3urns and Scalds ::: System:

Otorrhrea "' 6 43 ... ... Ophthalmia ... ... 24 18 ... ... 'fotal, Class V. Cephalgia ... . .... 4 9 ... ... Conjunctivitis 55 23 ' ... ... ... ... Corneitis . ... ... 2 18 ... ... J<:ntl'Opium ... ... 1 7 . .. .. . Total of all Classes

Average daily numerical strength of establishment Deatl1s per cent. of ditto Ca,cs of sickness J)er cent. of diLto .,,

REMARKS.

... ... ...

...

...

2 28 8 9 7 18

----

·-

17 15

·- --2·:14

220~

0'454 110'909

20

. .. .. . ... ...

... . .. ----

I ... .. .

-~-1-:~

'Jhe sickness during this year has been about fifty per cent. less than during the year 1870. A mild form of remittent fever prevailed at the commencement of tlw yenr; one case, .however, proved fatui, from meningitis complicating the disease at its beginuiog.-

RICHARD DUNCE, Medical Officer.

14

GAOL AND LOCK-UPS, GEELONG.

RETURN of Diseases and Deaths for the Year I 87 I._

Diseases.

CLAss I • .:_znwTro ·DisEAsEs._ •. ,

Order !.-Miasmatic Diseases: Catarrh "' ... ... 15 Dysentery ' ... ... 7 Diarrhcea ... ... 7 Remittent Fever ... ... 6 Rheumatism ... ... 15 OP,hthalf.\li& ... ... 1

Order 2.-Entketic Diseases: Syphilis ·... ... ... Gonorrhcea and Stricture ...

I ' Order .3.-Dietic Disea8es:

Dnys.

6 7 6

12' 13 19

D~lirium' Tremens 10 14.

Order :4.-Pa'rasitic 'Di8~ases: Worms ...

1 • .".

1

Porrigo ... - ...

'l'otal, Class I. ·

CLASS !I.-CONSTITUTIONAL DISEASES,

Order 1.-Difltketic Diseases: Polypus .... ... i .. •••

1 1

74

1

12 15

10

1 i

... . --:.-----

Total, Class II. 1 1

--·-------: CLASS III.-LOCAL DISEASES.

Order I.-Nervous Di8eases: Paralysis... . .. Insanity ... .. .

-Epilepsy ... .. .

0

Order 2.-Diaeases of Circulation: Heart Disease

Order 3.-Diseases'of Respiratio'n:

1 13 3

1

97 7 ~

30

CLASS Ill.-L.OCAL'])ISEASES­continued.

Order 4.-Diseases of Digestion: Ileus ... ... • .. Dyspepsia ... . .. Hretllouhoids ... . ..

Order 7.-Dis~asesofLocomption: Caries •.. ... ...

Order 8.-Diseases of Integuments: Whitlow... ... . .. Ulcer ... . .. .Herpes ... 1

... ...

Total, Class Ill. ...

CLASS IV.-DI!VELOPMENTAL­DISEASES,

Order 2.-Diseases of .!dults: Paramenia

. Order 3.-Diseases of Old Age: Old Age_... ... . ...

Order 4.-Disease$ of futrytion: 1

D b'J"t ' . I e 11 y ... ... . .. I

Total, Class IV. . ..

CLASS V.-VIOLENCE.

Order !.-Accident: Wounds~ ....

Order 4.-Suicide: Drowning

Total, Class V.

Toi;al of Cases of Disease

2 25 1

4

1 1

-7

1

63 1 6 __ , ______ _

2 20

1 27 1 100' •.

6 8

9 13 1 ll'll

18 3

1 I ' --~-------

19 3

Bronchitis 2 14 and of Deaths ... 166 8 1 o·oo

Average daily numerical strength of.establishment Number of oases of sickness per cent. thereof Number of deaths per c\)nt. of ditto

REMARKS.

36 46ri'I

2'77

' The total number Of cases of illness at the gaols i; 166, with one death, that of a lunatic, 75 years of age, who was moribund when admitted.

Sickness has been of an ordinary kind, and most)Y of very _short durnt.ion. A female lunatio.was brought in wuo had a uterine polypus of very large dimensions. It was at once cut away, and

found to be 2 lbs. 10 ozs. in weight, and about the size of the head of a newly-born infant. . QHAS. T. MACKIN, M.D.,

Medical 0 Jficer.

Diselll!es.

CLAss I.-ZYMOTIC DniEASES.

Order 1.-Miiumatic Diseases: 'l'yphoid Fever •.. . .. l<'ebrioula ... . .. Quinsy' ... ... ... :Hoils . .... ... . .. Influenza ... . .. Dysentery ... • .. Diarrhrea ... .. . Cholera •... ... .. . Rheumatism (Aoute) ,.

, (Chronic) · ...

Order 2.-:Entketio lJiseases: Syphilis •.. . ..

Order 8.-Dietic Diseases: · Delirium Tremens

· Total, ,Class I.

Cuss II.-OoNSTlTUTIONAL DISEASES. '

i

Order I.-Diathetic Diseases:' Gout .... ... ...

Order 2.-Tubereular Diseases: , Phthisis ... ... . ..

Hremoptysis .,, ... · Absoess ... ... ...

:J.'otal, Class _II. ...

CLASS III.-LOSAL DISEASES.

Order 1.-JJiseases of the Ne'1'VoUB System:

Epilepsy.... .. . Neuralgia .. . Paralysis... • ..

- Insanity ... · .. -. Hypochondriasis ... Ophthalmia ...

J' 15

C.A.STLEMAINE GAOL.

RETURN ofDiseas~~ d_uring the Year 1871."

7 3 1 8

21 ·s 16 1 1

l5

9 2 4 6 5 5 5

12 11 8

'

... ;

~ Cuss HI.-J,oou DISEASES-I , continued.

Order 3.-JJiseases of the llesp£.. ratory ~yst~Tm:

Bronchitis

Order 4.-Diseases of the Diges­tive Organs :

Peritonitis Hernia ... Dyspepsia Colio ... Piles

6

1 2

18' 4

'2

Days .•

12

2 10 5 8 9

1 100'

•• , f

1 17

. :: 11

Order 8.-Diseasesofthe Integu.. ..

1 9

--'---1 78 6 \ ... ... :/

-----·--]--

3

1 1 7

13

16 7

24

------__ ._1_

12 19

- --·---

1

f 2 2 1

7 7 9 4 1 6

mentary System : Phlegmon Ulcers ... Skin Diseases

5 12 11

.'fotal, Class III. ... -:- --;1_1 __ 1'92

CLASS IV.-DEVELOPMENTAL • DISEASES.

Order 2.-0/ Adults: Dysmenorrhcea ...

Order 4.-0f N11irition: Debility ... ...

'l.'oti'!J, Class IV. . ..

.CLASS V.-VIOLENCE.

Order 1.-.dccidentor Negligence: Wounds... ... . .. Contusions and Sprains ...

.T.otal1 Class V.

Total of all Classes

1

8

11 12

8

4

16 9

-----23 12

163 8 1 0'61

Average daily numerical strength o-f establishment Number.of cases of sickness per cent. thereof Number of deaths per cent. or ditto

, ... 74 220'27

1'35

REMARKS.

· All o~ th~ Zymotic dis.eases were of a ~ery mild form, and yielded re~dily._to treatment. :,J'he death app~aring' under the bead of perJtomt1s had or1gmally been a mild case of typhozd, ·and was discharged from hospttal; there existed, however, a small ulceration of the bowels, which• caused perforation and death in two days.

'!'here was nothing iu a.n'y .of the other classes requiring special notice.

'l'ROMAS MoGRATH, M.D., Gaol Surgeon.

BALLARAT GAOL.

RETURN of Diseases and Deaths for the Year 1871.

CLASS I.-ZYMOTIC DISEASES.

Order I.-Miasmatic Diseases: Quinsy ... · Carbuncle Influenza Dysentery Diarrhcea Rheumatism Parotitis... . ..

Order 2.-Enthetic Disease$: Syphilis : .. Gonorrhcea ...

Order 3.-Dieiic Diseases: Delirium 'L'remens

Order 4.-Parasitic Diseases: Worms · · Scabies ... Porrigo ...

" Total, Class I.

CLA.SS II.-CONSTITUTIONA.L DisEASES.

Order 2.-· Tubercular Disea-ses: Abscess ...

Total, Clt:t!s !I;

'CLass liL-LocA.L DISEaSES. Order. I.-Diseases of the Nervous Sys~em:

Cephalitis Epilepsy ... Corneitis Conjunctivitis Otitis ... ...

Order 2.-Diseases of tke Organs of Circulation:

Heart Disease

Days.,

2 5 l 9

10 8 13 6 5 4

15 10 1 8

3 23 7, 20

8 7.

2 7 1 5 .... 1 i 80 I __ , ___ ,

~:_ _1~~--~---1

4 22 6 15 1 22 ... 6 14 1 6

35

Cuss III.-JJOCJ.L DISEASES­continued.

Order 3.-Diseases of the Respi­ratory O,.gans:

-Bronchitis Pleurisy ... ... .· ...

Order 4.-Diseases of the Diges-tive Organs: · ·

Enteritis Ileus ... Stomach Disease·... ... Hepatitis · .... . ..

Order 5.-Di.eases of the Urinary Organs:

Cystitis and Kidney Disease Order 8.-Diseases of the Integu­

mentary System: Ulcer ... Skin Diseases

'l'ot~l, Class III.

Cuss IV.-·DEVELOPMENTAL DISEASES.

Order 2.--Developmental Diseases of Adults:

P11ramenia Ohildbirth . ... . . ..

Order 4. ·-Developmental Diseases of Nutrition:

Debility ...

'l'otal, Class IV.

Cuss V.-VIOLENCE •. Order 1.-Accident or Neqligenae:

Fract.ures ant\ Contusions .... Burns

· ~'otal, Class V.

.. Total of all Classes

Average daily numerical strength of establishment {Males ... ···(Females

Total Deaths per. cent. of ditto .•. . •• Cases of sickness per cent. of ditto·

~ 0

~~ "~ Ao oil "-I!Jo H ""' ?c -G:;: e<O

Days.

4 8 1 4

4 11. 3 3

12 15 3 6

2 14

6 18 2. 19

..;,

:; 5~ o·~

.0 "' = . ~'S ~fl ~~ " ~" :g~,n !le. ~0 A~~

--- ---i--~---_!~ ~~-· _ ... _,_.:_.-

I

4 22 1 10

5 j 23 -101-.---- ---

90 (nearly) None

158'88

RICHARD DUNCE, Surgeon of the !'}aol.

SA.NDHU]{ST GAOL. RETURN of Diseases .and Deaths for the Ye:tr 1871.

Diseases.

CLass I.-ZYMOTIC 'DrsEAslls. Order 1.-jl:[i,.smatic Diseases:

Diphtheria . sy ...

oid Fever &c ....

Catarrh, &o. Dysentery Diarrhcea Rheumatism

Order 2.-::-EntlMiic ]Jiseasea: Syphilis ... . .. Gonorrhooa, &o. ,;.

Order 3.-Die tic Diseases': P.urpu ra and Scurvy Deliriull} 'l'renieos

Order 4.-Parasitio Diseases: Worms .. :-

Total,, Class I.

1 8 2 8

48 1

20 81

8 15

2 47

6

247

Do.ys.

6 ' 8 3 8 4 8 3 7

26 (l

20 .3

2 1(}0'

2 081

CLASS II.-CONS'J'lTUTIONaL DISEAS¥.8. .

Order I.-Diathetic DiAea•Es: Cancer ... ... . ..

Order 2.-Tubercular Disease: Hremoptysis

Total, Class II.

CLASS lll.-Locu DISEASES. Order I.-Diseases' of tke N"ir~

vous System: Insanity ... -. Epilepsy .. . Ccmvrll<ions-• ... . .. Nenr·algia, Ophthahnia., &c.

Order 2.-Diseases of ike Organs' of Cin~ul ation :

Palpitation ... . .. Order 3-Diseases of the ll.e.,pi-

1'alor,l/'0rgan.v: · 13runchitis·

: I --·------

1 10 4 8 2 3

42 6

3 2

8

' \

. 17

RETURN of Diseases and Deaths in tiia: Sandhurst Gaol for the Year 1871-contimud. ~.~ . " ...

·~~ :8 0

; !"''' J. ~<l3 §~ - ~~ ' t-Diseases.. z~

p.O Diseaaes.

:il h d :51. 0<0 ~" o<> ~Qm

E-<0 ..q'a E-<i=l A'a" -------Cuss Ill.-LOCAL DISEASES- Days. Cuss IV.-DEVELOI'MENTAL

continued. DISlU.SES. Order 4.-Diseasea of fke Dl- Order 1.-Diseasea of Children 1 gestive Organs : "

GasLritis ..• 1 7 ~'eething ... ... ... ... ... ... ... Enteritis ... ... ... 4 a ... ... Order 2.-Diseases of.4.ilults: Ascites ... ... 1' 5 ... .. . Leucorrbooa. .... Ileus '48 2 ... ... ... ... . .. Amenorchooa . Fistula a 29 ... ... ... ... ... ... DyspepEi~ .. 29 a ... . .. ... . .. Total, Class IV. . Hepatitis... ... . .. 1 10 ...

O~der 5.-Diseases of the Urin-... ...

arfl Organs: Cuss V.-VIOLENOB. ephritis - ... ... 1 2 ... .. . Order . Ischuria ... ... ... 4 8 ... .. . t-.J.cciilenta 'or Negli-

Cystitis ... ... ... 1 2 ... ... gence 1 . Others, including Diuresis,&c. 6 8 ... ... Fractures and Contusions ...

Order 8.-JJiseases of the Inte{lli~ Burns and Scalds· ... mentary System 1 ' Other, or unknown acoiden'ts

Whitlow, &c. ... ... 1 8 ... ... Ulcer •.. ... ... 9 14 ... ... Total, Class V. .. . Skin Disease ... ... 6 3 ... .. . ---------

Total, Class Ill. ... 168 5 ... ... Tot;~! of all Classes ... Average dally numerical strength of establishment Deaths per cent. of ditto · ... ... • .. Cases of sickness per cent. of ditto ... . ..

-.-----. REMARKS.

.... g 0

j~ :a

!* z! .,o

~~ e1 ~"0 "" - -

Daye.

1 10

6 12 4 7 -- ---

11 10 ----

9 14 1 12

32 7 ----42 9 ----

470 6

89 224

528'09

'a "li11 .. i ~iil ......

lll,<>

;~ t~~ 0~ r.A 0" -----

... ...

... ...

. .. . .. -- -. .. ... ---

... ... ... ... ... ... - -... HL - ~ 2 0'42

The health of the prisoners in the Sandhurst Gaol during the year 1871 was, on the whole, generally good, only two cases of death having occurred. 1'hese arose from old age, irregularity of living, and destitution.

JAMES EADIE, Surgeon.

BEECHWORTH GAOL . AND WATCHHOUSE. RETURN of Diseases a~d Deaths during Year 1871.

CLASS I.-ZYMOTIC DISEASES.

Order I.-Miasmatic Diseases: Quinsy ... ... .. . Catarrh ... ... .. . Dysentery ... .. . Diarrhooa ... .. . Rheumatism ... .. . Ophthalmia ... .. . Anthrax ... ... .. .

Order 2.-Enthetic Diseases 1 Syphilis ... • .. Stricture of Urethra Gonorrhooa ...

Order a.-Die tic Diseases : Delirium 'fremens ...

Ord~~ 4.:-l?arasitic Diseases: !f::ema ... ... ... Ascarides ...

Total, Class I.

Cuss !I.-CoNsTITUTIONAL · DISEASES.

Order 1.-Diathetic Diseases: Noma ... . ... Cancer of Womb ...

Total, Class II.

CLASS Ill.-LOCAL DISEASES,

Order !.-Nervous Diseases: Neural~ia ... ...

Order a.-Diseases of Respira-tion: .

Bronchitis ... • .. Pneumonia ... . ..

4 18 7 5

17 a 1

2 1 1

a 2 4

Days.

6 5

14 3

18 7 7

60 60 12

5

4 3

68 11

1 5 1 90

2 47

2 3

5

7 6 a 1oo·

CLASS III.-LOCAL DISEASES­continued.

Order 4.-Diseases of Digestion: Ileus ... ... .. .. Hepatitis ... .. . Hromorrhoids ... .. . Dyspepsia ... .. . Constipat.ion ... .. .

Order 5.-Diseases of Urinary Organs:

Hromaturia Order 8.-Diseasea of Integ-;;_

ments: Ulcer ... . .. Sepia Tuberculosa Psoriasis... • ..

1 1 1

10 3

1

Days.

2 20 5

12 a

8

1 100'

~ 2g ... I ::: 4 1 40 ... ...

'--'--------Total, Class Ill. ... __!_I_E__4_~

CLASS IV.-DEVELOPMENTAL DISEASES.

Order 2.-Diseases of.ddults: Abortion ... ... , ... 1 5 Childbirth ... . ... 1 9

Order 4.-Diseases oj Nutrition: Debility ... ... ... 4 10

1----:----;---1----Total, Class IV. ... 6 9

CLASS V.-VIOLENCE.

4 7 Order 1.-.d.ccident or Negligence 1

Wounds ... ... .. . Contusions ... .. . a 4 Burns ... ... .. . 2 10

Order 5.-Exermtion: Hanging ... 1 1 1 '100'

----- ------·-Total, Class V.

Total of all Classes

10 I 6 1 10·

115 12 5 4'85

Average daily numerical strength of establishment Number of cases of sickness per cent. of ditto ... Number of deaths per oent. of ditto

65 I7fl92

7'69 No. 42. B

·.18

REMARKS.

The. three fatal oases of pneumonia were all brought into the gaol in a very low state, in fact almost moribund. . ~he oas~ of ileus WaS very rapidly fatal, a loop of small intf;lStine having ·slipped through a small foramen in the omentum,

.and. bemg so t1ghtly s~r!mgulated that death resulted .very suddenly from ll!emt:mhage into the bowel. ' . JOHN J. C. DEMPSTER, M.D.,

·VICTORIAN ARTILLERY CORPS.

RETURN of Diseases and Deaths fqr the Year '1871.

Diseases.

Cuss I.-ZYMOTIC DISEASES. Order 1.-Miasmatic Diseases:

Cynanche · ... . .. Boils · ... ... .. . Influenza ... .. . Catarrh (Common) ... Diarrhma ,, ... Fever (Intermittent) · ... Fever (Gastric) ... · · ... Fever (Common, Continued) Rheumatism ... · .. . Ophthalmia ... .. .

Total, Class I.

Cuss III.-Locu Disl!!SllS. Order I.-Diseases of tke ller-

vavs System: · ·~ Otitis ... ... ' ...

Order B.-Diseases of tke Respi· ratary System :

Bronchitis Order 4.-JJisease; of the Di·

gestive Organs; Constipation ... . .. Hmmorrhoids· .... Fistula (in Anus)::: ... Dyspepsia. ... ...

~ :;;-d .o-8 8" "~ Ji!i!;<

H ~a

. 14 4

11 14 17 ·l

1 2

u 3 I

78 I

7

1 1 1

43

~;g 'S ... ~

='\1 ~<:3 "' . t3rn ~.g !3 ......

QJO

"" " ""'" l~ Ji!ioi "" -;5 ~8oo "'" -" l>o 0<1' ·~-g ~ <:l-.:: 8~ -------Days.

-4 ... ... 3 ... . .. 4 .... ... 4 ... . .. 3 ... . .. 3 ... . ..

20 ... ... 6 ... ... 6 ... ...

45 ... . .. 6 i--,--I ... ..; ·-

3

3

" 3 ... . .. 6 ... ' .. .

56 ... ... 4 ... . ..

Avera"e daily strength of corps Cases of sickness per cent. of ditto ... Deaths per cent. of ditto

Diseases. -

Cuss III.-LocAL DisEASE~-cantinued.

Order 5.-Diseases of tke Respi· · ratory Organs : ·

Dysuria .. . ... ... Order B.-Diseases of tke Integu-

mentary System : Paronychia ... ... Phlegmon ... ... Ulcer ... ... ... Psoriasis ... ... . ..

'l'otal, Class Ill. ...

CLASS V.-VIOLENCE. Order 1. - Accident or Negli-

gence: Sprain ... ... ... Fractures ... ... Contusions ... ...

·Wounds ... ... ~ ... Dislocation ... ...

' Total, Class V. ... ~ ..

Total of all Classes ...

RE~'I:ARKS.

Medio!J-1 Officer.

't; ~·~. 't; ~~-!~ ~ r;;o ·"' O<ll a-:l

~~ s .... ~t " ~; Ji!i,; sm ~"a -;:3 ~~~ "'" -" ~8 "o O" A~·~ <;:~ ~;<Cl

1-

D~ys.

1 10 ... .. .

2 3 ... . .. 7 6 ... . .. 4 9 ... ... 2' 6 ... ... ---

71 5 ... ...

9 4 .. ... .. . 2 11

. ... . .. • 1 7 ... . ..

9 10 ... . .. 1 5 ... ...

22 I. 7. ... . .. ---171 5 ... .. . -

116

147' Nil

• · Tbe present Return shows all the cases of sickness that occurred in the Victorian Artillery Corps during 1871. Although · the number appears large for so small a force, on the whole the health o.f. the men was !lood1 their complaints being generally of ·short duration. · ·

'1'. F. McGAURAN, · Medical Officer.

•.

--·-~~----------

. By A~thority; ·JoHN :F.imREs, QQvernment Print.er, Melbourne.