VITAL STATISTICS.
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546 VITAL STATISTICS. HEALTH OF ENGLISH TOWNS. IN twenty-eight of the largest English towns 5792 births and 3776 deaths were registered during the week ending March 5th. The annual death-rate in these towns, which had been equal to 195, 21’1, and 21’3 per 1000 in the preceding three weeks, was again 21-3 last week. During the first nine weeks of the current quarter the death-rate in these towns averaged 21’9 per 1000, and was 2’3 below the mean rate in the corresponding periods of the ten years 1877-86. The lowest rates in these towns last week were 3.1’6 in Bolton, 14’1 in Brighton, 15’3 in Sunderland, and 17’1 in Birkenhead. The rates in the other towns ranged upwards to 26’5 in Wolverhampton, 26 7 in Huddersfield, 28’1 in Blackburn, and 31’2 in Manchester. The deaths referred to the principal zymotic diseases in the twenty-eight towns, which had been 310,371, and 372 in the preceding three weeks, further rose last week to 385; they included 152 from measles, 93 from whooping-cough, 41 from scarlet fever, 34 from diar- rhoea, 31 from"faver"(principally enteric), 31 from diphtheria, and 3 from small-pox. These zymotic diseases caused the lowest death-rates during the week in Bolton, Halifax, and Bradford, and the highest rates in Oldham, Manchester, and Huddersiield. The greatest mortality from measles occurred in Liverpool, Salford, Manchester, and Huddersfield ; from whooping-cough in Birmingham, Oldham, Preston, and Plymoutn; from scarlet fever in Manchester, Salford, and Birkenhead ; and from " fever" in Blackburn. The 31 deaths from diphtheria in the twenty-eight towns included 19 in London, 2 in Bristol, and 2 in Birmingham. Small- pox caused 3 deaths in Manchester, but not one in London and its outer ring, or in any of the twenty-six other large provincial towns. Only 6 cases of small-pox were under treatment on Saturday last in the metropolitan hospitals receiving cases of this disease. The deaths referred to diseases of the respiratory organs in London, which had increased in the preceding four weeks from 364 to 466, were last week 459, and were 28 below the corrected average. The causes of 72, or 1’9 per cent., of the deaths in the twenty-eight towns last week were not certified either by a registered medical practitioner or by a coroner. All the causes of death were duly certified in Newcastle-upon- Tyne, Nottingham, Leicester, Portsmouth, and in six other smaller towna. The largest proportions of uncertified deaths were registered in Salford, Oldham, Halifax, and Sunderland. HEALTH OF SCOTCH TOWNS. The annual rate of mortality in the eight Scotch towns, which had been 24’3 and 22’5 per 1000 in the preceding two weeks, rose again to 23’6 in the week ending March 5th; this rate exceeded by 2.3 the mean rate during the same period in the twenty-eight large English towns. The rates in the Scotch towns last week ranged from 17’4 in Dundee and 18’7 in Leith, to 25’6 in Glasgow and 32’4 in Aberdeen. The 589 deaths in the eight towns last week showed an increase of 27 upon the number in the preceding week, and included 32 which were referred to whooping-cough, 27 to measles, 19 to scarlet fever, 11 to diarrhoea, 5 to diphtheria, 4 to "fever" (typhus, enteric, or simple), and not one to small-pox; in all, 98 deaths resulted from these principal zymotic diseases, against 103 and 99 in the previous two weeks. These 98 deaths were equal to an annual rate of 3’9 per 1000, which - exceeded by 1’7 the mean rate from the same diseases in the twenty-eight English towns. The fatal cases of whooping-cough, which had increased in the pre- ceding five weeks from 19 to 33, rose last week to 32, of which 18 occurred in Glasgow, 5 in Edinburgh, and 5 in Aberdeen. The 27 deaths from measles showed a ,decline of 3 from the number in the previous week, and in- cluded 19 in Aberdeen and 8 in Glasgow. The fatal cases of scarlet fever, which had been 13,25, and 17 in the previous three weeks, rose again last week to 19, of which 13 occurred in Edinburgh and 4 in Glasgow. The 11 deaths attributed to diarrhoea corresponded with the number in the previous week, and included 5 in Glasgow and 3 in Dundee. Of the 5 deaths from diphtheria, 2 occurred in Glasgow and 2 in Edinburgh; and the 4 deaths referred to " fever " in- cluded 2 in Glasgow. The deaths referred to acute diseases of the. respiratory organs in the eight towns, which had been 146 and 121 in the preceding two weeks, rose again last week to 142, but were 38 below the number returned in the corresponding week of last year. The causes of 76, or nearly 13 per cent., of the deaths registered during the week were not certified. ___ HEALTH OF DUBLIN. The rate of mortality in Dublin, which had been 35’3 and 30’7 per 1000 in the preceding two weeks, further declined to 28’1 in the week ending March 5th. During the first nine weeks of the current quarter the death-rate in the city averaged 31’0, the mean rate during the same period being but 20 in London and 21-7 in Edinburgh. The, 190 deaths in Dublin last week showed a further decline of 18 from the numbers in the previous two weeks ; they included 7 which were referred to scarlet fever, 5 to "fever" (typhus, enteric, or simple), 1 to measles, 1 to whooping-cough, and 1 to diarrhoea. Thus the deaths from these principal zymotic diseases, which had been 14 in each of the preceding two weeks, were last week 15 ; they were equal to an annual rate of 2-2 per 1000, the rates from the same diseases being 1’6 in London and 4’2 in Edinburgh. The deaths from scarlet fever, which had been but 3 and 2 in the previous two weeks, rose last week to 7; the 5 fatal cases of "fever," on the other hand, showed a decline of 3 from the number in the previous week. The deaths of infants showed an increase of 3, and those of elderly persons a decline of 2, compared with the numbers in the previous week. Four inquest cases and only one death from violence were registered; and 40, or nearly a quarter, of the deaths occurred in public insti- tutions. The causes of 29, or more than 15 per cent., of the deaths registered during the week were not certified. THE SERVICES. A SPECIAL COMMITTEE, composed of Sir ArchibaldAlison (who is to preside), Sir Evelyn Wood, Mr. G. Lawson, Sir Thomas Crawford, and Colonel Methuen, has been appointed to consiaer the full organisation of the medical department for an army corps in the field, as well as the number of horses and servants required for medical officers on active service. WAR OFFICE. Army Medical Staff : The date from which Surgeon-Major S. Moore, M.B., is granted retired pay, with the honorary rank of Brigade Surgeon, is Jan. 22nd, 1887, and not, as stated in the Gazette, February 11th, 1887. The undermentioned Surgeons on probation to be Surgeons :—F. J. Morgan ; W. H. Horrocks, M.B.; C. H. Hale; H. C. Thuraton ; B. H. Scott; W. C. Poole, M.B.; 0. R. A. Julian; G. Raymond, M.B.; E. A. Burnside; T. McCulloch, M.B.; A. B. Hinde; A. Y. Reily, M.B.; J.W. Cockerill; J. Ritchie, M.B.; H. St. G. S. Hore; S.Macdonald, M.B.; E. Corcoran ; A. 0. C. Watson, M.B.; E. W. Gray, M.B.; D. Stiell, M.B.; L. E. A. Salmon; G. A. Wade, M.B.; J. Minniece, M.D.; R. H. Penton; M. P. C. Holt; W. L. Gray, M.B.; E. G. Browne; J. C. Morgan; H. I. Pocock; G. Hilliard, M.B.; C. R. Elliott, M.D.; C. A. Young; J. W. Bullen, M.D.: J. C. Weir, M.B.; B. J. Innis; R. C. Thacker; W. N. Murphy, M.D.; S. F. Clark, M.B.; and E. M. Hassard. ADMIRALTY. — The following appointments have been made :-Surgeon John Lownes, to the Landrail, to date from the 10th inst.; Staff-Surgeon J. Lyon, to the Ajax; Surgeon G. A. Spiller, to the -Duke of Wellington, additional, for dis- posal ; Surgeon W. C. Spiller, to the Gan.qes, additional, for disposal; Surgeon W. Belt, to the St. Vincent, additional, for disposal; Surgeon H. W. Rickards, to the Boscawen, additional, for disposal; Surgeon F. W. Brice, to the Britannia, additional, for disposal; Surgeon J. W. Slaughter, to the Cambridge, additional, for disposal; Surgeon J. B. Clibborn, to the Lisbon Hospital, to date from llth inst.; Surgeon S. D. O’Grady, to the Indus; and Surgeon C. J. Mansfield, to the Griffon, to date from 16th inst. The following qualified candidates for the Naval Medical Service have been appointed to be Surgeons in Her Majesty’s Fleet :-John Douglas Hughes ; William John Colborne; John Hutton Stenhouse, M.B.; Joseph Agnew Moon; Robert Hardie, M.B.; Cornelius Bradley, M.D.; George Trevor Col- lingwood ; Richard Miller, M.B.; George Fletcher Collins; Charles Dickinson ; John Edwin Coad, M.B.; Hubert Holy- oake ; George Wilson, M.B.; James Moore; Edwin Griffin, M.D.; John Duncan Menzies, M.B.; Hugh St. David Griffiths; and Walter Bowden. In accordance with the provisions of Her Majesty’s Order
Transcript of VITAL STATISTICS.
546
VITAL STATISTICS.
HEALTH OF ENGLISH TOWNS.
IN twenty-eight of the largest English towns 5792 birthsand 3776 deaths were registered during the week endingMarch 5th. The annual death-rate in these towns, which hadbeen equal to 195, 21’1, and 21’3 per 1000 in the precedingthree weeks, was again 21-3 last week. During the firstnine weeks of the current quarter the death-rate in thesetowns averaged 21’9 per 1000, and was 2’3 below themean rate in the corresponding periods of the ten years1877-86. The lowest rates in these towns last week were3.1’6 in Bolton, 14’1 in Brighton, 15’3 in Sunderland, and 17’1in Birkenhead. The rates in the other towns ranged upwardsto 26’5 in Wolverhampton, 26 7 in Huddersfield, 28’1 inBlackburn, and 31’2 in Manchester. The deaths referredto the principal zymotic diseases in the twenty-eight towns,which had been 310,371, and 372 in the preceding three weeks,further rose last week to 385; they included 152 from measles,93 from whooping-cough, 41 from scarlet fever, 34 from diar-rhoea, 31 from"faver"(principally enteric), 31 from diphtheria,and 3 from small-pox. These zymotic diseases caused thelowest death-rates during the week in Bolton, Halifax, andBradford, and the highest rates in Oldham, Manchester, andHuddersiield. The greatest mortality from measles occurredin Liverpool, Salford, Manchester, and Huddersfield ; fromwhooping-cough in Birmingham, Oldham, Preston, and
Plymoutn; from scarlet fever in Manchester, Salford, andBirkenhead ; and from " fever" in Blackburn. The 31deaths from diphtheria in the twenty-eight towns included19 in London, 2 in Bristol, and 2 in Birmingham. Small-pox caused 3 deaths in Manchester, but not one in Londonand its outer ring, or in any of the twenty-six other largeprovincial towns. Only 6 cases of small-pox were undertreatment on Saturday last in the metropolitan hospitalsreceiving cases of this disease. The deaths referred todiseases of the respiratory organs in London, which hadincreased in the preceding four weeks from 364 to 466, werelast week 459, and were 28 below the corrected average.The causes of 72, or 1’9 per cent., of the deaths in thetwenty-eight towns last week were not certified either bya registered medical practitioner or by a coroner. All thecauses of death were duly certified in Newcastle-upon-Tyne, Nottingham, Leicester, Portsmouth, and in six othersmaller towna. The largest proportions of uncertified deathswere registered in Salford, Oldham, Halifax, and Sunderland.
HEALTH OF SCOTCH TOWNS.
The annual rate of mortality in the eight Scotch towns,which had been 24’3 and 22’5 per 1000 in the precedingtwo weeks, rose again to 23’6 in the week endingMarch 5th; this rate exceeded by 2.3 the mean rate duringthe same period in the twenty-eight large English towns.The rates in the Scotch towns last week ranged from 17’4 inDundee and 18’7 in Leith, to 25’6 in Glasgow and 32’4in Aberdeen. The 589 deaths in the eight towns lastweek showed an increase of 27 upon the number in thepreceding week, and included 32 which were referred towhooping-cough, 27 to measles, 19 to scarlet fever, 11 todiarrhoea, 5 to diphtheria, 4 to "fever" (typhus, enteric,or simple), and not one to small-pox; in all, 98 deathsresulted from these principal zymotic diseases, against103 and 99 in the previous two weeks. These 98 deathswere equal to an annual rate of 3’9 per 1000, which- exceeded by 1’7 the mean rate from the same diseasesin the twenty-eight English towns. The fatal cases
of whooping-cough, which had increased in the pre-ceding five weeks from 19 to 33, rose last weekto 32, of which 18 occurred in Glasgow, 5 in Edinburgh, and5 in Aberdeen. The 27 deaths from measles showed a,decline of 3 from the number in the previous week, and in-cluded 19 in Aberdeen and 8 in Glasgow. The fatal casesof scarlet fever, which had been 13,25, and 17 in the previousthree weeks, rose again last week to 19, of which 13occurred in Edinburgh and 4 in Glasgow. The 11 deathsattributed to diarrhoea corresponded with the number in theprevious week, and included 5 in Glasgow and 3 in Dundee.Of the 5 deaths from diphtheria, 2 occurred in Glasgow and2 in Edinburgh; and the 4 deaths referred to " fever " in-cluded 2 in Glasgow. The deaths referred to acute diseasesof the. respiratory organs in the eight towns, which hadbeen 146 and 121 in the preceding two weeks, rose again
last week to 142, but were 38 below the number returned inthe corresponding week of last year. The causes of 76,or nearly 13 per cent., of the deaths registered during theweek were not certified.
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HEALTH OF DUBLIN.
The rate of mortality in Dublin, which had been 35’3 and30’7 per 1000 in the preceding two weeks, further declinedto 28’1 in the week ending March 5th. During the firstnine weeks of the current quarter the death-rate in the cityaveraged 31’0, the mean rate during the same period being but20 in London and 21-7 in Edinburgh. The, 190 deaths inDublin last week showed a further decline of 18 from thenumbers in the previous two weeks ; they included 7 whichwere referred to scarlet fever, 5 to "fever" (typhus, enteric,or simple), 1 to measles, 1 to whooping-cough, and 1 todiarrhoea. Thus the deaths from these principal zymoticdiseases, which had been 14 in each of the preceding twoweeks, were last week 15 ; they were equal to an annual rateof 2-2 per 1000, the rates from the same diseases being 1’6in London and 4’2 in Edinburgh. The deaths from scarletfever, which had been but 3 and 2 in the previous two weeks,rose last week to 7; the 5 fatal cases of "fever," on theother hand, showed a decline of 3 from the number in theprevious week. The deaths of infants showed an increaseof 3, and those of elderly persons a decline of 2, comparedwith the numbers in the previous week. Four inquest casesand only one death from violence were registered; and 40,or nearly a quarter, of the deaths occurred in public insti-tutions. The causes of 29, or more than 15 per cent., of thedeaths registered during the week were not certified.
THE SERVICES.
A SPECIAL COMMITTEE, composed of Sir ArchibaldAlison(who is to preside), Sir Evelyn Wood, Mr. G. Lawson, SirThomas Crawford, and Colonel Methuen, has been appointedto consiaer the full organisation of the medical departmentfor an army corps in the field, as well as the number ofhorses and servants required for medical officers on activeservice.WAR OFFICE. - Army Medical Staff : The date from
which Surgeon-Major S. Moore, M.B., is granted retired pay,with the honorary rank of Brigade Surgeon, is Jan. 22nd,1887, and not, as stated in the Gazette, February 11th,1887. The undermentioned Surgeons on probation to beSurgeons :—F. J. Morgan ; W. H. Horrocks, M.B.; C. H.Hale; H. C. Thuraton ; B. H. Scott; W. C. Poole, M.B.;0. R. A. Julian; G. Raymond, M.B.; E. A. Burnside; T.McCulloch, M.B.; A. B. Hinde; A. Y. Reily, M.B.; J.W.Cockerill; J. Ritchie, M.B.; H. St. G. S. Hore; S.Macdonald,M.B.; E. Corcoran ; A. 0. C. Watson, M.B.; E. W. Gray, M.B.;D. Stiell, M.B.; L. E. A. Salmon; G. A. Wade, M.B.; J.Minniece, M.D.; R. H. Penton; M. P. C. Holt; W. L. Gray,M.B.; E. G. Browne; J. C. Morgan; H. I. Pocock; G.Hilliard, M.B.; C. R. Elliott, M.D.; C. A. Young; J. W.Bullen, M.D.: J. C. Weir, M.B.; B. J. Innis; R. C. Thacker;W. N. Murphy, M.D.; S. F. Clark, M.B.; and E. M. Hassard.
ADMIRALTY. — The following appointments have beenmade :-Surgeon John Lownes, to the Landrail, to date fromthe 10th inst.; Staff-Surgeon J. Lyon, to the Ajax; SurgeonG. A. Spiller, to the -Duke of Wellington, additional, for dis-posal ; Surgeon W. C. Spiller, to the Gan.qes, additional, fordisposal; Surgeon W. Belt, to the St. Vincent, additional, fordisposal; Surgeon H. W. Rickards, to the Boscawen, additional,for disposal; Surgeon F. W. Brice, to the Britannia, additional,for disposal; Surgeon J. W. Slaughter, to the Cambridge,additional, for disposal; Surgeon J. B. Clibborn, to the LisbonHospital, to date from llth inst.; Surgeon S. D. O’Grady, tothe Indus; and Surgeon C. J. Mansfield, to the Griffon, todate from 16th inst.The following qualified candidates for the Naval Medical
Service have been appointed to be Surgeons in Her Majesty’sFleet :-John Douglas Hughes ; William John Colborne;John Hutton Stenhouse, M.B.; Joseph Agnew Moon; RobertHardie, M.B.; Cornelius Bradley, M.D.; George Trevor Col-lingwood ; Richard Miller, M.B.; George Fletcher Collins;Charles Dickinson ; John Edwin Coad, M.B.; Hubert Holy-oake ; George Wilson, M.B.; James Moore; Edwin Griffin,M.D.; John Duncan Menzies, M.B.; Hugh St. David Griffiths;and Walter Bowden.
In accordance with the provisions of Her Majesty’s Order
