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Public Dealth and Poor Law. Water-Supply and Drainage

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Public Dealth and Poor Law. Water-Supply and Drainage 758 much improved, but in some central parts of the town houses were found to be in a deplorable state as regards. Public Dealth and Poor Law. water-supply and drainage. The general mortality was 15 per 1000 living, and the zymotic rate 0’5 per 1000. The LOCAL GOVERNMENT DEPARTMENT. sanitary hospital, which belongs jointly to the urban and- rural authorities, received 38 patients during the year, REPORTS OF MEDICAL OFFICERS OF HEALTH. 24 being cases of scarlatina. Such enteric fever as was found in the district was due to the use of well Rural District.-After the polluted Uxbridge making necessary water, and seven cases of impure water are recorded as- corrections for institutions within the district, Mr. C. Roberts having been dealt with. In the Rural District the general. gives the death-rate for last year as 15’6 per 1000. Infant mortality was at the rate of 15’6, and the zymotic mortality death is excessive, and it is held that some legislative at the rate of 0.7 per 1000. As to villages, Dr. Alford seems. to to of that interference is needed as the insurance of the lives object systems sewerage, preferring every regards householder should deal with his own on his own of born infants. The of the of sewage newly drainage village premises. But he admits that, instead of a scheme, which Norwood is now almost and it is to be completed, hoped is, as a rule, most difficult of proper application, the that the cesspits will be got rid of as speedily as possible. tendency is to large cesspits. Defects as to water-supply and drainage were in Hayes found to be associated with and enteric fever; diphtheria VITAL Ruislip still remains without proper means of drainage; STATISTICS. and in other places, such as Cowley, difficulties in con- nexion with water-supply have been met with. The joint HEALTH OF ENGLISH TOWNS. isolation hospital received 33 patients during the year; IN twenty-eight of the largest English towns 5813 births and it is reported that certain sanitary improvements have and 3712 deaths were registered during the week ending been effected generally and especially in Southall and in April 6th. The annual rate of mortality in these towns, Harefield. which had been 21-3, 20-8, and 19-9 per 1000 in the pre- Caxton and St. Neots Combioed District. - Speaking ceding three weeks, rose again last week to 20’3. During generally of the water-supply of these districts, Mr. Poyntz the thirteen weeks of last quarter the death-rate in Wright states that great difficulty is met with as regards these towns averaged 20’9 per 1000, and was 2’8 below the the rural areas; whereas, by means of the East Huntingdon mean rate in the corresponding periods of the ten years waterworks, the town of St. Neots may shortly be 1879-88. The lowest rates in these towns last week were expected to have an abundant and a wholesome supply. 12’9 in Brighton, 16’3 in Portsmouth, 17’3 in Leicester, and It is also to be hoped that several villages in the rural 17’4 in Halifax. The rates in the other towns ranged districts, through which the mains run, may before long upwards to 26’4 in Oldham, 27-8 in Manchester, 30’0 in be benefited in the same way. As to others, the different Preston, and 30’6 in Blackburn. The deaths referred to. methods of possible supply are discussed at some length, the principal zymotic diseases in these towns, which had the question being obviously an important one; and this the been 469 and 421 in the preceding two weeks, rose again last more so because of the frequent risk to which local wells are week to 464; they included 175 from measles, 125 from subjected by reason of cesspools, leaky house drains, &c. whooping-cough, 48 from scarlet fever, 48 from diarrhoea, The establishment of a small joint isolation hospital on the 47 from diphtheria, 21 from "fever (principally enteric), outskirts of St. Neots is strongly advocated. During 1888 and not one from small-pox. These zymotic diseases. the death-rates from all causes were as follows : Caxton and caused the lowest death-rates in Derby, Halifax, and Arrington rural district 14’3, St. Neots rural district 13’1, Huddersfield; and the highest rates in Blackburn, Preston, and and St. Neots urban district 13’3 per 1000 living. Bolton. The greatest mortality from measles was recorded. Ilkley Urban District.—Dr. Thomas Scott contrasts the in Bristol, Norwich, Manchesier, Preston, Blackburn, and present sanitary state of Ilkley with that which prevailed Bolton ; from whooping-cough in Birmingham, Nottingham, in 1871 as regards water-supply, sewerage, burial ground, Wolverhampton, Plymouth, Bolton, Oldham, Bradford, and and hospital provision, all these matters being now in an Preston; from scarlet fever in Oldham, Blackburn, and efficient state; and he may justly lay claim to a share in Sheffield ; and from "fever" in Preston. The 47 deaths promoting measures such as these, which have tended from diphtheria in the twenty-eight towns included 26 in to the health and well-being of the town. Last year the London, 4 in Salford, 3 in Manchester, 3 in Liverpool, and death-rate, after elimination of visitors, was only 10’4 per 2 in Sunderland. No death from small-pox was registered 1000; the cold summer having been more favourable to the in any of the twenty-eight great towns; and only 1 small- vital statistics than to the financial prosperity of this holiday pox patient was under treatment at the end of the week resort. in the Metropolitan Asylum Hospitals and in the High- Teignmouth Urban District. - Though much sanitary gate Small-pox Hospital. The number of scarlet-fever work is reported to have been effected in this district patients in the Metropolitan Asylum and London Fever during the past year, much still remains, according to Hospitals at the end of last week was 580, against 569 and Dr. Piggott, to be done. A new bore-hole for water has 579 in the preceding two Saturdays; 47 cases were admitted been completed, and the supply now available is stated by to these hospitals during the week, against 58 and 41 in tha Dr. Frankland to be of the nrst quality. The new sewerage preceding two weeks. The deaths referred to diseases of system works well in all the localities to which it has been the respiratory organs in London, which had declined in tha applied, but the internal sanitary state of a large number of preceding four weeks from 402 to 332, rose again last week houses remains most defective. For a town like Teignmouth, to 364, but were 110 below the corrected average. The it is most discreditable to find that in 307 houses having so- causes of 82, or 2-1 per cent., of the deaths in the twenty- called waterclosets there is no flushing apparatus whatever eight towns last week were not certified either by a regis- to the closets, and some of these structures have not un- tered medical practitioner or by a coroner. All the causes naturally been found to be the medium of spreading the of death were duly certified in Sunderland, Leicester, Bolton, contagium of enteric fever. A large amount of highly useful and in five other smaller towns. The largest proportions. work is shown to have been performed in the nuisance of uncertified deaths were registered in Halifax, Bradford, and disinfection is carried out and Hull. department, efficiently by ___ means of a solution of perchloride of mercury coloured with aniline blue. Making a deduction for visitors, the annual HEALTH OF SCOTCH TOWNS. death-rate from all causes is given as 14’6 per 1000; the The annual rate of mortality in the eight Scotch towns, so-called zymotic rate was 0’41 per 1000; and the deaths of which had been 25’4,23’4, and 22’1 per 1000 in the preceding infants under one year of age were at the rate of 111 per three weeks, further declined to 21-8 in the week ending 1000 registered births. April 6th; this rate exceeded, however, by 1’5 per 1000 the Taunton Urban District,—Dr. Alford congratulates the mean rate during the same period in the twenty-eight large borough on a low death-rate, and this especially from English towns. The rates in these Scotch towns ranged last zymotic diseases, which in former years were somewhat week from 7’3 and 15’4 per 1000 in Greenock and Aberdeen, formidable. The water-supply is pure and abundant, and to 22-4 in Paisley and 28 -8 in Glasgow. The 558 deaths the flushing of sewers is well carried out. But sewer in the eight towns showed a further decline of 7 from the ventilation is far from satisfactory, and advice to deal with numbers in recent weeks, and included 41 which were re- the matter is disregarded. Dwelling accommodation has ferred to whooping-cough, 31 to measles, 8 to diphtheria,.
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