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VITAL STATISTICS

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1225 eligible, were also elected Fellows of the College :-Edward Granville Browne, M. B. Camb., F.B.A.; and Sir David Bruce, M. B. Edin., C. B., F. R. S. The following communications were received : 1. From the secretary of the Royal College of Surgeons of England, re- porting proceedings of the Council of the College on Feb. 9th, March 9th, and April 6th. 2. From the Home Office (dated March 2nd), re the labelling of patent medicines. The matter was referred to the Censors’Board, but it was resolved that it should be recommended to the Home Secretary that it should be compulsory for the ingredients of all patent medicines to be placed on the bottle. 3. From the secretary of the National Association for the Prevention of Consumption, re an International Tuberculosis Congress at Rome in September next. The President was requested to nominate delegates to represent the College. 4. From the Master of the Apothecaries’ Society, intimating that the Society will apply for power to issue diplomas in Public Health and in Tropical Medicine, and expressing the hope that the College would not oppose this application. It was resolved that no opposition should be offered at present. 5. From the Royal Statistical Society, re a " definition of still births." It was left to the President to nominate a small committee to consider the matter. Dr. Norman Moore was re-elected the representative of the College on the General Medical Council, Dr. Frederick Taylor was re-elected the representative of the College on the Senate of the University of London, and Dr. F. W. Andrewes was re-elected the representative on the Council of the Lister Institute of Preventive Medicine. Dr. F. E. BATTEN proposed, and Dr. E. FARQUHAR BUZZARD seconded, the following resolution, which was adopted :- That in view of the infectivity of acute poliomyelitis and polio- encephalitis, its annual occurrence in London, and the crippling effects of the disease upon children and others, the College do recommend to the London County Council that poliomyelitis and polioencephalitis be included among the notifiable diseases in order to diminish and, if possible, eliminate its incidence on the population. After some further formal business the PRESIDENT dis- solved the Comitia. VITAL STATISTICS. HEALTH OF ENGLISH TOWNS. In 77 of the largest English towns 8389 births and 4695 deaths were registered during the week ending April 29th. ’, The annual rate of mortality in these towns, which had been equal to 15’9 9 and 15’4 per 1000 in the two preceding weeks, further declined to 14 - 3 in the week under notice. During the first four weeks of the current quarter the annual rate in these towns averaged 15-2 per 1000. In London during the same period the recorded annual rate did not exceed 14-7 per 1000. The annual death-rates last week in the 77 large towns ranged from 7’6 in Grimsby, 7.7 in Newport (Mon.), 8’2 in Coventry, and 8’4 in Smethwick, to 21.0 in Rhondda, 21.5 in Swansea, 21.8 in Stoke-upon- Trent, and 22-0 in Tynemouth. The 4695 deaths from all causes in the 77 towns last week showed a further decline of 365 from the numbers returned in the two preceding weeks, and included 448 which were referred to the principal epidemic diseases, against numbers steadily declining from 702 to 538 in the seven preceding weeks; of these 448 deaths, 223 resulted from measles, 118 from whooping-cougb, 53 from infantile diarrhoea, 31 from diphtheria, 14 from scarlet fever, and 9 from enteric fever, but not one from small-pox. The mean annual death-rate from these epidemic diseases in the 77 towns was equal to 1 - 4 per 1000, and was lower than in any week since January last. The fatal cases of measles in the 77 towns, which had steadily declined in the seven preceding weeks from 474 to 268, further fell last week to 223 ; the highest annual ,death-rates from this disease among these towns last week were 1.9 in Yarmouth, 2.3 in Tottenham, 2.5 in West Ham, and 4.1 in Rhondda. The 118 deaths from whooping- cough showed a decline of 16 from the number in the previous week, and caused the highest death-rates of 1-4 in Burnley, 1-9 in Blackburn, and 2’4 in Middles- brough. The 53 deaths, under two years of age, attri- buted to diarrhcea were fewer by 10 than those in the previous week, and included 16 in London, 5 in Liverpool, and 4 in Birmingham. The deaths referred to diphtheria, which had been 50 and 44 in the two previous weeks, declined to 31 last week, and were fewer than in any previous week of this year; they included 11 in London and, its suburban districts, 3 in Manchester, and 2 both in Liver- pool and in Birmingham. The 14 fatal cases of scarlet lever-- corresponded with the low number in the previous week, and included 5 in Liverpool and 2 both in London and Stockton- on-Tees. The deaths referred to enteric fever, which had been 18 and 15 in the two preceding weeks, further fell to last week, and were fewer than in any previous week of this year. The number of scarlet fever patients unde treatment in the metropolitan asylums and the London Fever Hospital,. which had been 982 and 995 on the two preceding Satur- days, had further increased to 1037 at the end of last week ; 141 new cases of this disease were admitted to these hospitals during last week, against 125 and 155 in the twor- preceding weeks. These hospitals also contained 829 cases of measles, 307 of whooping-cough, 22 of enteric fever, and 9 of small-pox on Saturday last. The 1280 deaths. from all causes in London last week showed a decline of 208 from the number in the previous week, and included 268 which were referred to diseases of the respiratory system, against 279 and 323 in the two previous weeks; - 12 deaths were directly referred to influenza, showing a decline of 7 from the number in the previous week. In the 77, towns, 167 deaths were attributed to different forms of violence, fewer by 31 than those in the previous week ; and 361 inquest cases were registered. The causes of 37, or 0’ 8 per cent., of the deaths registered in the 77 towns during the week were not certified ei-iiher by a registered medical practitioner or by a coroner, All the causes of death were duly certified in Leeds, Bristol West Ham, Bradford, Leicester, Salford, and in 50 other smaller towns ; the 37 uncertified causes of death in the 77 towns last week included 6 in Liverpool, 5 in Birmingham, 4 in Gateshead, and 3 in Stoke-upon-Trent.. HEALTH OF SCOTCH TOWNS. In Glasgow 487 births and 281 deaths were registered’ during the week ending April 29th; the deaths slightly exceeded the number in the previous week, but were 10, below the average number in the first three weeks of the- current quarter. As the results of the recent Census appear to show that the population of this city has recently been, largely over-estimated, it must be presumed that the birth- - rates and death-rates therein have both been considerably understated in recent returns. The 281 deaths in Glasgow last week from all causes included 40 which were referred to the principal epidemic diseases, against 47 and 41 in the two pre= - ceding weeks ; of these 40 deaths 24 resulted from whooping- cough, 6 from measles, 5 from infantile diarrhœa, 4 from, diphtheria, and 1 from enteric fever, but no fatal case of scarlet fever or small-pox was registered. The fatal eases of whooping-cough, which had been 27 and Z8 in the two previous weeks, declined to 24 last week, but the 6 deaths. from measles exceeded the number in the previous week by- 3 ; the number of deaths from infantile diarrhcea and from diphtheria differed but slightly from those in the previous week. The 281 deaths in the city included 96, or 34 per cent., which were recorded in public institutions. In Edinburgh 130 births and 121 deaths were registered during last week, the deaths showing an increase of 5 upon the number in the previous week. It appears that the official estimate of the recent population of this city, as well as of’ Glasgow, has considerably exceeded the number enumerated, at the recent Census, which implies that the recently published rates of births and of deaths have been under- stated. The 121 deaths registered in Edinburgh last week from all causes included 7 which were referred to the prin- cipal epidemic diseases, against 14 in the previous week ; 3 resulted from measles, 3 from whooping-cough, and 1 from diphtheria, but not one from scarlet fever, infantile diarrheea, enteric fever, or small-pox. The fatal cases of whooping- cough were fewer by 5 than those in the previous week, but those of measles showed a slight increase. The 26 deaths. of infants under one year of age exceeded the numbers in any recent week. The 12’1 deaths from all causes included 40, or 33 per cent., which occurred in public institutions, and the- causes of 5, or 4.1 per cent., of the registered deaths were-: uncertified.
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Page 1: VITAL STATISTICS

1225

eligible, were also elected Fellows of the College :-EdwardGranville Browne, M. B. Camb., F.B.A.; and Sir David Bruce,M. B. Edin., C. B., F. R. S.The following communications were received : 1. From the

secretary of the Royal College of Surgeons of England, re-porting proceedings of the Council of the College on Feb. 9th,March 9th, and April 6th. 2. From the Home Office (datedMarch 2nd), re the labelling of patent medicines. Thematter was referred to the Censors’Board, but it was resolvedthat it should be recommended to the Home Secretary thatit should be compulsory for the ingredients of all patentmedicines to be placed on the bottle. 3. From the

secretary of the National Association for the Prevention ofConsumption, re an International Tuberculosis Congress atRome in September next. The President was requested tonominate delegates to represent the College. 4. From theMaster of the Apothecaries’ Society, intimating that the

Society will apply for power to issue diplomas in PublicHealth and in Tropical Medicine, and expressing the hopethat the College would not oppose this application. It wasresolved that no opposition should be offered at present.5. From the Royal Statistical Society, re a " definition ofstill births." It was left to the President to nominate a smallcommittee to consider the matter.

Dr. Norman Moore was re-elected the representative of theCollege on the General Medical Council, Dr. Frederick Taylorwas re-elected the representative of the College on theSenate of the University of London, and Dr. F. W. Andreweswas re-elected the representative on the Council of theLister Institute of Preventive Medicine.

Dr. F. E. BATTEN proposed, and Dr. E. FARQUHARBUZZARD seconded, the following resolution, which was

adopted :-That in view of the infectivity of acute poliomyelitis and polio-

encephalitis, its annual occurrence in London, and the crippling effectsof the disease upon children and others, the College do recommend tothe London County Council that poliomyelitis and polioencephalitis beincluded among the notifiable diseases in order to diminish and, ifpossible, eliminate its incidence on the population.

After some further formal business the PRESIDENT dis-solved the Comitia.

VITAL STATISTICS.

HEALTH OF ENGLISH TOWNS.

In 77 of the largest English towns 8389 births and 4695deaths were registered during the week ending April 29th. ’,The annual rate of mortality in these towns, which hadbeen equal to 15’9 9 and 15’4 per 1000 in the two precedingweeks, further declined to 14 - 3 in the week under notice.During the first four weeks of the current quarter theannual rate in these towns averaged 15-2 per 1000. InLondon during the same period the recorded annual rate didnot exceed 14-7 per 1000. The annual death-rates last weekin the 77 large towns ranged from 7’6 in Grimsby, 7.7 inNewport (Mon.), 8’2 in Coventry, and 8’4 in Smethwick, to21.0 in Rhondda, 21.5 in Swansea, 21.8 in Stoke-upon-Trent, and 22-0 in Tynemouth. The 4695 deaths from allcauses in the 77 towns last week showed a further declineof 365 from the numbers returned in the two preceding weeks,and included 448 which were referred to the principal epidemicdiseases, against numbers steadily declining from 702to 538 in the seven preceding weeks; of these 448 deaths,223 resulted from measles, 118 from whooping-cougb,53 from infantile diarrhoea, 31 from diphtheria, 14 fromscarlet fever, and 9 from enteric fever, but not one

from small-pox. The mean annual death-rate from theseepidemic diseases in the 77 towns was equal to 1 - 4 per 1000,and was lower than in any week since January last.The fatal cases of measles in the 77 towns, which hadsteadily declined in the seven preceding weeks from 474 to268, further fell last week to 223 ; the highest annual,death-rates from this disease among these towns last weekwere 1.9 in Yarmouth, 2.3 in Tottenham, 2.5 in West Ham,and 4.1 in Rhondda. The 118 deaths from whooping-cough showed a decline of 16 from the number in theprevious week, and caused the highest death-rates of1-4 in Burnley, 1-9 in Blackburn, and 2’4 in Middles-brough. The 53 deaths, under two years of age, attri-buted to diarrhcea were fewer by 10 than those inthe previous week, and included 16 in London, 5 in

Liverpool, and 4 in Birmingham. The deaths referred to

diphtheria, which had been 50 and 44 in the two previousweeks, declined to 31 last week, and were fewer than in anyprevious week of this year; they included 11 in London and,its suburban districts, 3 in Manchester, and 2 both in Liver-pool and in Birmingham. The 14 fatal cases of scarlet lever--

corresponded with the low number in the previous week, andincluded 5 in Liverpool and 2 both in London and Stockton-on-Tees. The deaths referred to enteric fever, which hadbeen 18 and 15 in the two preceding weeks, further fell to last week, and were fewer than in any previous week of thisyear. The number of scarlet fever patients unde treatmentin the metropolitan asylums and the London Fever Hospital,.which had been 982 and 995 on the two preceding Satur-days, had further increased to 1037 at the end of lastweek ; 141 new cases of this disease were admitted to thesehospitals during last week, against 125 and 155 in the twor-preceding weeks. These hospitals also contained 829 casesof measles, 307 of whooping-cough, 22 of enteric fever,and 9 of small-pox on Saturday last. The 1280 deaths.from all causes in London last week showed a decline of208 from the number in the previous week, and included268 which were referred to diseases of the respiratorysystem, against 279 and 323 in the two previous weeks; -12 deaths were directly referred to influenza, showing adecline of 7 from the number in the previous week. In the 77,towns, 167 deaths were attributed to different forms ofviolence, fewer by 31 than those in the previousweek ; and 361 inquest cases were registered. Thecauses of 37, or 0’ 8 per cent., of the deaths registered inthe 77 towns during the week were not certified ei-iiher by aregistered medical practitioner or by a coroner, All thecauses of death were duly certified in Leeds, Bristol West Ham, Bradford, Leicester, Salford, and in 50other smaller towns ; the 37 uncertified causes of deathin the 77 towns last week included 6 in Liverpool, 5 in

Birmingham, 4 in Gateshead, and 3 in Stoke-upon-Trent..

HEALTH OF SCOTCH TOWNS.

In Glasgow 487 births and 281 deaths were registered’during the week ending April 29th; the deaths slightlyexceeded the number in the previous week, but were 10,below the average number in the first three weeks of the-current quarter. As the results of the recent Census appearto show that the population of this city has recently been,largely over-estimated, it must be presumed that the birth- -rates and death-rates therein have both been considerablyunderstated in recent returns. The 281 deaths in Glasgowlast week from all causes included 40 which were referred to the

principal epidemic diseases, against 47 and 41 in the two pre= -ceding weeks ; of these 40 deaths 24 resulted from whooping-cough, 6 from measles, 5 from infantile diarrhœa, 4 from,diphtheria, and 1 from enteric fever, but no fatal case ofscarlet fever or small-pox was registered. The fatal eases of

whooping-cough, which had been 27 and Z8 in the two

previous weeks, declined to 24 last week, but the 6 deaths.from measles exceeded the number in the previous week by-3 ; the number of deaths from infantile diarrhcea and fromdiphtheria differed but slightly from those in the previousweek. The 281 deaths in the city included 96, or 34 percent., which were recorded in public institutions. In

Edinburgh 130 births and 121 deaths were registered duringlast week, the deaths showing an increase of 5 upon thenumber in the previous week. It appears that the officialestimate of the recent population of this city, as well as of’Glasgow, has considerably exceeded the number enumerated,at the recent Census, which implies that the recentlypublished rates of births and of deaths have been under-stated. The 121 deaths registered in Edinburgh last weekfrom all causes included 7 which were referred to the prin-cipal epidemic diseases, against 14 in the previous week ; 3resulted from measles, 3 from whooping-cough, and 1 fromdiphtheria, but not one from scarlet fever, infantile diarrheea,enteric fever, or small-pox. The fatal cases of whooping-cough were fewer by 5 than those in the previous week, butthose of measles showed a slight increase. The 26 deaths.of infants under one year of age exceeded the numbers in anyrecent week. The 12’1 deaths from all causes included 40, or33 per cent., which occurred in public institutions, and the-

causes of 5, or 4.1 per cent., of the registered deaths were-:uncertified.

Page 2: VITAL STATISTICS

1226

HEALTH OF IRISH TOWNS.

In 22 town districts of Ireland, having an estimatedpopulation of 1,163,596 persons, 687 births and 465 deathswere registered during the week ending April 29th. Theannual rate of mortality in these towns, which had beenequal to 20’3 3 and 22’0 per 1000 in the two preceding weeks,declined again to 20’ 8 in the week under notice. During thefirst four weeks of the current quarter the annual death-ratein these towns averaged 21’ 4 per 1000 ; the mean rate

during the same period in the 77 English towns did notexceed 15-2 per 1000. The annual death-rate during theweek under notice in the Irish towns was equal to 22-4in Dublin (against 13.6 in London), 20.9 in Belfast,24’0 in Cork, 14-3 in Londonderry, 10’9 in Limerick,and 13’ in Waterford ; in the 16 smallest of theseIrish towns the mean annual death-rate during theweek was equal to 20.5 per 1000. The 465 deathsfrom all causes in the 22 towns during the week showed adecline of 25 from the number in the previous week, andincluded 28 which were referred to the principal epidemicdiseases, against 36 and 30 in the two previous weeks ;.these 28 deaths were equal to an annual rate of 1’1 per1000, which was 0’3 below the mean rate from the samediseases in the 77 English towns. Of these 28 deaths fromthe principal epidemic diseases in the Irish towns, 10 resultedfrom diarrhoea, 8 from whooping-cough, 5 from measles,4 from diphtheria, and 1 from enteric fever, but not oneeither from scarlet fever or from small-pox. The 10 deathsattributed to diarrhoea included 8 of infants under two

years of age; 5 occurred in Dublin and 2 in Galway.The 8 fatal cases of whooping-cough exceeded thosein the previous week by 2, and included 3 in London-

derry and 2 both in Dublin and in Cork. All the5 deaths from measles were recorded in Dublin ; andof the 4 fatal cases of diphtheria 2 occurred in Dundalk and1 each in Dublin and Limerick. The death from enteric feverwas registered in Belfast. The deaths in the 22 townsreferred to diseases of the respiratory system, which hadbeen 120 and 136 in the two previous weeks, declined lastweek to 87. Of the 465 deaths from all causes, 144, or31 per cent., were recorded in public institutions. Thecauses of 25, or 5’4 per cent., of the deaths in the 22 townswere not certified either by a registered medical practitioneror by a coroner after inquest ; the proportion of uncertifiedcauses of death in the week under notice did not exceed 0 - 8 8

per cent. in the 77 largest English towns.

THE SERVICES.

ROYAL ARMY MEDICAL CORPS.

Colonel T. J. R. Lucas, principal medical officer of the

Jubbulpore and Jhansi Brigades, has been granted six months’leave of absence home from India. Lieutenant-ColonelW. W. Pike, from the Military Hospital at Tidworth Park,Salisbury Plain, has joined for duty in Egypt. Lieutenant-Colonel T. Daly, from Dalhousie, has been appointed tocommand the Military Hospital at Peshawar. Lieutenant-Colonel J. Will has been transferred from Kinsale for dutyat Richmond, Yorks. Major T. McCulloch, from Mandalay,has been selected to take charge of the Military Hospital atCalcutta. Major G. T. Rawnsley, from Aldershot, has takenup duty as Staff Officer to the Administrative MedicalOfficer of the East Lancashire Division at Manchester.

Major M. P. C. Holt, D.S.O., specialist in advanced operativesurgery at Ambala, has been appointed Honorary Surgeon toHis Excellency the Viceroy and Governor-General of India,in succession to Brevet Colonel R. S. F. Henderson, appointedHonorary Physician to His Majesty the King. On arrivalfrom England, Major J. McD. McCarthy has been posted forduty to the Eighth (Lucknow) Division. Major L. E. L.Parker, sanitary officer of the Sixth (Poona) Division, hasbeen granted eight months’ leave of absence home fromIndia. Major H. G. F. Stallard has been transferred fromDelhi Cantonment to the Station Hospital at Roorkee.Major G. S. Crawford, on return from a tour of serviceat Malta, has been appointed for duty in the DublinDistrict. Major C. T. Samman has been transferred fromthe Eighth (Lucknow) Division to the Fifth (Mhow) Division.Captain N. Low, on completion of a tour of service in India,

has been ordered to join for duty in Ireland in the BelfastDistrict. Captain C. W. S. Whitestone has been grantedsix months’ general leave of absence home from India.

Captain F. W. Lambelle, on arrival in India, has been

appointed Specialist in Advanced Operative Surgery to theFifth (Mhow) Division. Captain W. McConaghy has beentransferred from the Military Hospital at Tidworth Park toBirmingham. Captain J. M. B. Rahilly, on arrival fromCairo, has been posted to the Eastern Command. CaptainA. A. Meaden, on completion of a tour of service in

India, has been ordered to join the Irish Commandand on arrival will be posted to the Cork Districtfor duty. Captain J. du P. Langrishe, from Kirkee,has joined for duty at the Station Hospital, Poona.The following Captains have been directed to hold them-selves in readiness for service abroad during the comingtrooping season : A. R. Greenwood, Specialist in AdvancedOperative Surgery at Aldershot; A. D. Jameson, Specialistin Dermatology and Venereal Diseases at Aldershot ; P. U.Douglass, in charge of the Military Hospital at Weedon ;C. E. Fleming ; F. A. Stephens, Adjutant of the Royal ArmyMedical Corps School of Instruction at Birmingham ; R. F. M.Fawcett; J. L. Jones; E S. Worthington, M.V.O. ; H. A.Bransbury, Specialist in Dermatology and Venereal Diseasesat Woolwich ; M. W. Falkner, Specialist in AdvancedOperative Surgery at the Curragh Camp ; R. N. Woodley, incharge of the Military Families Hospital at Bulford Camp.Lieutenant H. H. Blake has been transferred from theEighth (Lucknow) Division to the First (Peshawar) Division.

INDIAN MEDICAL SERVICE.The King has approved of the promotion of Lieutenant-

Colonel Donald St. John Grant to the rank of Colonel (datedJan. lst, 1911). Colonel Grant’s tenure of appointment willreckon from March 14th, 1911.The King has also approved of the retirement of the

undermentioned officers : Colonel Charles Henry Beatson(dated March 27th, 1911), Colonel William Adair Quayle(dated April 30th, 1911), Lieutenant-Colonel Henry PeersDimmock (dated April 15th. 1911), Lieutenant-ColonelManekshaw Jamshedji Keldwdid (dated April 16th, 1911).

Colonel A. M. Crofts, C.I.E , has been selected to succeedSurgeon-General H. Hamilton, C.B., on the latter’s retire-ment from the service. Brevet-Colonel H. F. Cleveland,secretary to the Principal Medical Officer, His Majesty’sForces in India, has been appointed Principal MedicalOfficer of the Aden Brigade. Lieutenant-Colonel H. Hendleyhas been confirmed as Administrative Medical Officer underthe Home Department of the Government of India. Liot-tenant-Colonel J. Morwood, civil surgeon of Shahjahanpur,has been granted leave of absence in India for six months.The services of Lieutenant-Colonel C. H. Bedford have been

placed at the disposal of the Home Department of the Govem-ment of India. Lieutenant-Colonel D. H. McD. Graves hasarrived home on leave of absence from India. Major A.Fenton has been transferred from Mandalay to act as CivilSurgeon at Rangoon during the absence on leave of CaptainJ. Good. Major C. H. Bowle-Evans has been selected by theForeign Department of the Government of India as AgencySurgeon, Khyber. Major C. Dykes, on completion of specialduty in connexion with plague prevention, has been appointedto officiate as Civil Surgeon at Ghazipur. Major J. L.

Macrae, Bengal Presidency, has arrived home on leave ofabsence from India. Captain F. W. Sumner, officiating civilsurgeon at Bijnor, has taken up duty as civil surgeon atShahjahanpur during the absence on leave of Lieutenant-Colonel J. Morwood. Captain C. G. Seymour has beenappointed Specialist in the Prevention of Disease and postedto take charge of the Brigade Bacteriological ResearchLaboratory at Dehra Dun. The services of Captain W. L.Harnett have been placed at the disposal of the Governmentof India for duty in Bengal and Assam.

THE SERIOUS ALLEGATIONS CONCERNING PARKHURSTMILITARY HOSPITAL. ‘

Pending the result of official inquiries into the allegationsof overwork at this hospital, judgment in the matter must besuspended, but it is satisfactory to know that the War Officehas realised the seriousness of the charges made. After theinquest on Sergeant Stokes, R.A.M.C., the dispenser whopoisoned himself, several Members of the House ofCommons asked questions on the subject, and on

April 27th Mr. Acland, in the House of Commons, on


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