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VITAL STATISTICS

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1569 persons the establishment of a nursing home or private hospital, where they could be lodged and boarded at rates varying according to the privacy and accommodation demanded, where they would be under the care of their own medical man at a rate of fees arranged by mutual agreement and where they would be attended by trained nurses, would be a boon. ____________ THE ROYAL MILITARY TOURNAMENT. THE sanitary arrangements at the Royal Agricultural Hall, Islington, when occupied by the troops taking part in the Royal Military Tournament, have been described in these columns on so many occasions that it is hardly necessary to refer to them again in detail. The building is ill adapted for the housing of troops, but under the able advice of Surgeon- Major Alexander, of the Coldstream Guards, who is assisted by Surgeon-Major James, A.M.S., the sanitary conditions of the hall have been made as perfect as the circumstances will allow. Four new ventilators have been constructed in the roof of the building, and a great improvement has been made in the ventilation of the arcade by the construction of sixteen swinging "lights," eight on either side. This part of the building, where many cubicles are placed, has hitherto suffered greatly from want of fresh air, and though there is still room for improvement, we are glad to note that some of our suggestions have taken practical shape. It is a pity, however, that those in charge of the Tournament cannot see their way to remove it to more commodious premises. As we have said, the building has no doubt been made as sanitary and as comfortable for the troops as circumstances will allow, but apart from the fact that some 870 men and 400 horses here find a home-far too large a number for the amount of accommodation, we think-the building is altogether unworthy of what has now become, perhaps, one of the most important naval and military gatherings of the year. We say most important advisedly, because it is evident from the enthusiasm of the public that the Royal Military Tournament has become one of the greatest factors in popularising the navy and army. To prove this would require too long a digression, but it will, we believe, be generally admitted. The watchword of the present committee seems to be "economy." For the first time the catering for the troops is done by the military authorities themselves, and with the most satisfactory results. The cost per man is ls. 3d. per diem, and the food supplied is greatly appreciated by the men. The work of economy is seen, too, in other directions. The scenery, which in previous years has formed a sort of background to the combined display of all arms, has been dispensed with, and in its place there have been erected a number of seats which probably bring in not less than L200 per night. This of course, adds greatly to the coffers of the participating charities, but decreases the amount of air pace in the building. With regard to the medical aspect of the arena little is to be said. The performance which has in it the greatest element of danger, though not perhaps so apparent to the eye as in other performances, is the trotting and galloping practice by the artillery. There is, of course, considerable risk to the men engaged in the practice, but in one respect there is more risk to the spectators. Should by chance the wheels of the gun carriage strike against the I obstacles " through which the wheels pass and splinter the wood there is every chance of it being har]ed through the air and striking the spectators. Galloping by the artillery under these circum- s ances should be eliminated from the programmes ; the " trotting " is quite exciting enough, as the tremendous applause which greets the successful avoiding of the obstacles demonstrates. Of the condition of the stables, which are under the charge of Veterinary-Major Rowe, A.V.D., there is nothing to complain. Upon the whole we can congratulate Colonel F. Lorn CI mpbell, the Commandant; Major F. Lloyd, the treasurer ; I L’eutenant-Colonel E. W. D. Ward. C.B., the honorary se(retary; and the other members of the stafE who have as.’ isted in the organisation of this year’s tournament. The Tournament will close on June 10th, and those de: irous of viewing one of the best sights of the year should bo(k seats at once, as the hall is filled to overflowing at each pe formance. VITAL STATISTICS. HEALTH OF ENGLISH TOWNS. I IN thirty-three of the largest English towns 6226 births and 3492 deaths were registered during the week ending May 29th. The annual rate of mortality in these towns, which had been 16-5 and 17’2 per 1000 in the two preceding weeks, declined, again last week to 16’6. In London the rate was 14-9 per 1000, while it averaged 17’7 in the thirty-two provincial towns. The lowest death-rates in these towns were 6-9 in Croydon, 9’5 in Cardiff, 12-5 in Swansea, and 12’9 in Portsmouth; the highest rates were 22’1 in Burnley, 23-2 in Gateshead, 23-6 in Bolton, 24-0 in Sheffield, and 28-6 in Salford. The 3492 deaths in these towns included 355 which were referred to the principal zymotic diseases, against 341 and 357 in the two preceding weeks ; ; of these, 111 resulted from whooping-cough, 97 from measles, 57 from diphtheria, 39 from diarrhoea, 32 from scarlet fever, and 19 from "fever" (principally enteric), No fatal case of any of these diseases was recorded in Croydon; in the other towns they caused the lowest death- rates in Newcastle-upon-Tyne, Bradford, Bristol, and Leeds, and the highest rates in Manchester, Bolton, Oldham, and Salford. The greatest mortality from measles occurred in West Ham, Oldham, Birkenhead, Bolton, Man- chester, and Salford; from scarlet fever in Huddersfield ; ;. and from whooping-cough in Plymouth, Halifax, Manchester, and Salford. The mortality from "fever" showed not marked excess in any of the large towns. The 57 deaths from diphtheria included 36 in London, 4 in Birmingham, 3 in Leicester, and 3 in Burnley. No fatal case of small- pox was registered last week in any of the thirty-three large towns. There were 12 cases of small-pox under treatment in the Metropolitan Asylum Hospitals on Saturday last, May 29th, against 11, 14, and 13 at the end of the three preceding weeks ; no new cases were admitted during the week. The number of scarlet fever patients in the Metropolitan Asylum Hospitals and in the London Fever Hospital at the end of the week was 2546, against numbers increasing from 2380 to 2508 on the four preceding Saturdays ; 278 new cases were admitted during the week, against 231, 239, and 311 in the three preceding weeks. The deaths referred to diseases of the respiratory organs in London, which had been 198 and 220 in the two preceding weeks, declined again last week to 196, and were 108 below the corrected average. The causes of 49, or 1-4 per cent., of the deaths in the thirty-three towns were not certified either by a registered medical practitioner or by a coroner. All the causes of death were duly certified in Leicester, Oldham, Bradford, Sunderland, and in nine other smaller towns ; the largest proportions of uncertified deaths were registered in West Ham, Swansea, Birmingham, and Sheffield. HEALTH OF SCOTCH TOWNS. The annual rate of mortality in the eight Scotch towns, which had increased in the three preceding weeks from; 20-7 to 22-3 per 1000, declined again to 21 7 during the week ending May 29th, but exceeded by 5-1 per 1000 the mean rate during the same period in the thirty-three large English towns. The rates in the eight Scotch towns ranged from 10-2 in Perth and 18-9 in Paisley to 26’9 in, Edinburgh and 30’4 in Leith. The 648 deaths in these towns included 34 which were referred to whooping- cough, 24 to measles, 21 to diarrhoea, 5 to diphtheria, 4 to "fever," and 3 to scarlet fever. In all, 91 deaths resulted from these principal zymotic diseases, against 102 and 110 in the two preceding weeks. These 91 deaths were equal to an annual rate of 3-1 per 1000, which was 1-4 above the mean rate last week from the. same diseases in the thirty-three large English towns. The fatal cases of whooping-cough, which had been 29 and 35 in the two preceding weeks, were 34 last week, and included 18 in Glasgow and 9 in Edinburgh. The deaths referred to measles, which had increased in the three pre- ceding weeks from 29 to 49, declined again last week to 24, of which 16 occurred in Edinburgh, 4 in Glasgow, and 3 in Leith. The 5 fatal cases of diphtheria corre- sponded with the number in the preceding week, and included 3 in Glasgow and 2 in Edinburgh. The deaths referred to different forms of ,fever," which had been 1 and 3 in the two preceding weeks, further rose to 4 last week, all of which were registered in Glasgow. The deaths.
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Page 1: VITAL STATISTICS

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persons the establishment of a nursing home or privatehospital, where they could be lodged and boarded at ratesvarying according to the privacy and accommodationdemanded, where they would be under the care of their ownmedical man at a rate of fees arranged by mutual agreementand where they would be attended by trained nurses, wouldbe a boon.

____________

THE ROYAL MILITARY TOURNAMENT.

THE sanitary arrangements at the Royal Agricultural Hall,Islington, when occupied by the troops taking part in the RoyalMilitary Tournament, have been described in these columnson so many occasions that it is hardly necessary to refer tothem again in detail. The building is ill adapted for thehousing of troops, but under the able advice of Surgeon-Major Alexander, of the Coldstream Guards, who is assistedby Surgeon-Major James, A.M.S., the sanitary conditions ofthe hall have been made as perfect as the circumstances willallow. Four new ventilators have been constructed in theroof of the building, and a great improvement has beenmade in the ventilation of the arcade by the construction ofsixteen swinging "lights," eight on either side. This part ofthe building, where many cubicles are placed, has hithertosuffered greatly from want of fresh air, and though there isstill room for improvement, we are glad to note that some ofour suggestions have taken practical shape. It is a pity,however, that those in charge of the Tournament cannot seetheir way to remove it to more commodious premises.As we have said, the building has no doubt beenmade as sanitary and as comfortable for the troops ascircumstances will allow, but apart from the fact that some870 men and 400 horses here find a home-far too largea number for the amount of accommodation, we think-thebuilding is altogether unworthy of what has now become,perhaps, one of the most important naval and militarygatherings of the year. We say most important advisedly,because it is evident from the enthusiasm of the public thatthe Royal Military Tournament has become one of thegreatest factors in popularising the navy and army. Toprove this would require too long a digression, but it will,we believe, be generally admitted.The watchword of the present committee seems to be

"economy." For the first time the catering for the troopsis done by the military authorities themselves, and with themost satisfactory results. The cost per man is ls. 3d. perdiem, and the food supplied is greatly appreciated by themen.

The work of economy is seen, too, in other directions.The scenery, which in previous years has formed a sort ofbackground to the combined display of all arms, has beendispensed with, and in its place there have been erected anumber of seats which probably bring in not less than L200per night. This of course, adds greatly to the coffers ofthe participating charities, but decreases the amount of airpace in the building.With regard to the medical aspect of the arena little is

to be said. The performance which has in it the greatestelement of danger, though not perhaps so apparent to the eyeas in other performances, is the trotting and gallopingpractice by the artillery. There is, of course, considerablerisk to the men engaged in the practice, but in one respectthere is more risk to the spectators. Should by chance thewheels of the gun carriage strike against the I obstacles

"

through which the wheels pass and splinter the wood thereis every chance of it being har]ed through the air and strikingthe spectators. Galloping by the artillery under these circum-s ances should be eliminated from the programmes ; the" trotting " is quite exciting enough, as the tremendousapplause which greets the successful avoiding of the obstaclesdemonstrates. Of the condition of the stables, which areunder the charge of Veterinary-Major Rowe, A.V.D., thereis nothing to complain.Upon the whole we can congratulate Colonel F. Lorn

CI mpbell, the Commandant; Major F. Lloyd, the treasurer ; IL’eutenant-Colonel E. W. D. Ward. C.B., the honoraryse(retary; and the other members of the stafE who haveas.’ isted in the organisation of this year’s tournament.The Tournament will close on June 10th, and those

de: irous of viewing one of the best sights of the year shouldbo(k seats at once, as the hall is filled to overflowing at eachpe formance.

VITAL STATISTICS.

HEALTH OF ENGLISH TOWNS.

I IN thirty-three of the largest English towns 6226births and 3492 deaths were registered during the weekending May 29th. The annual rate of mortality in thesetowns, which had been 16-5 and 17’2 per 1000 in the twopreceding weeks, declined, again last week to 16’6. InLondon the rate was 14-9 per 1000, while it averaged 17’7in the thirty-two provincial towns. The lowest death-ratesin these towns were 6-9 in Croydon, 9’5 in Cardiff, 12-5 inSwansea, and 12’9 in Portsmouth; the highest rates were22’1 in Burnley, 23-2 in Gateshead, 23-6 in Bolton, 24-0 inSheffield, and 28-6 in Salford. The 3492 deaths inthese towns included 355 which were referred to theprincipal zymotic diseases, against 341 and 357 in thetwo preceding weeks ; ; of these, 111 resulted from

whooping-cough, 97 from measles, 57 from diphtheria,39 from diarrhoea, 32 from scarlet fever, and 19from "fever" (principally enteric), No fatal case ofany of these diseases was recorded in Croydon; inthe other towns they caused the lowest death-rates in Newcastle-upon-Tyne, Bradford, Bristol, andLeeds, and the highest rates in Manchester, Bolton,Oldham, and Salford. The greatest mortality from measlesoccurred in West Ham, Oldham, Birkenhead, Bolton, Man-chester, and Salford; from scarlet fever in Huddersfield ; ;.and from whooping-cough in Plymouth, Halifax, Manchester,and Salford. The mortality from "fever" showed notmarked excess in any of the large towns. The 57 deathsfrom diphtheria included 36 in London, 4 in Birmingham,3 in Leicester, and 3 in Burnley. No fatal case of small-pox was registered last week in any of the thirty-three largetowns. There were 12 cases of small-pox under treatment inthe Metropolitan Asylum Hospitals on Saturday last, May 29th,against 11, 14, and 13 at the end of the three precedingweeks ; no new cases were admitted during the week. Thenumber of scarlet fever patients in the Metropolitan AsylumHospitals and in the London Fever Hospital at the end ofthe week was 2546, against numbers increasing from 2380to 2508 on the four preceding Saturdays ; 278 new caseswere admitted during the week, against 231, 239, and 311in the three preceding weeks. The deaths referred todiseases of the respiratory organs in London, which hadbeen 198 and 220 in the two preceding weeks, declinedagain last week to 196, and were 108 below the correctedaverage. The causes of 49, or 1-4 per cent., of the deathsin the thirty-three towns were not certified either by aregistered medical practitioner or by a coroner. All thecauses of death were duly certified in Leicester, Oldham,Bradford, Sunderland, and in nine other smaller towns ; thelargest proportions of uncertified deaths were registered inWest Ham, Swansea, Birmingham, and Sheffield.

HEALTH OF SCOTCH TOWNS.

The annual rate of mortality in the eight Scotch towns,which had increased in the three preceding weeks from;20-7 to 22-3 per 1000, declined again to 21 7 during the weekending May 29th, but exceeded by 5-1 per 1000 the meanrate during the same period in the thirty-three largeEnglish towns. The rates in the eight Scotch townsranged from 10-2 in Perth and 18-9 in Paisley to 26’9 in,Edinburgh and 30’4 in Leith. The 648 deaths in thesetowns included 34 which were referred to whooping-cough, 24 to measles, 21 to diarrhoea, 5 to diphtheria,4 to "fever," and 3 to scarlet fever. In all, 91 deathsresulted from these principal zymotic diseases, against102 and 110 in the two preceding weeks. These 91deaths were equal to an annual rate of 3-1 per 1000,which was 1-4 above the mean rate last week from the.same diseases in the thirty-three large English towns. Thefatal cases of whooping-cough, which had been 29 and 35in the two preceding weeks, were 34 last week, andincluded 18 in Glasgow and 9 in Edinburgh. The deathsreferred to measles, which had increased in the three pre-ceding weeks from 29 to 49, declined again last week to24, of which 16 occurred in Edinburgh, 4 in Glasgow,and 3 in Leith. The 5 fatal cases of diphtheria corre-

sponded with the number in the preceding week, andincluded 3 in Glasgow and 2 in Edinburgh. The deathsreferred to different forms of ,fever," which had been 1and 3 in the two preceding weeks, further rose to 4 lastweek, all of which were registered in Glasgow. The deaths.

Page 2: VITAL STATISTICS

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from diseases of the respiratory organs in these towns,which had been 108 and 135 in the two preceding weeks,declined again to 128 last week, but were 19 above thenumber in the corresponding period of last year. Thecauses of 45. or nearly 7 per cent., of the deaths in theseeight towns last week were not certified.

HEALTH OP DUBLIN.

The death-rate in Dublin, which had declined in thethree preceding weeks from 33’7 to 27’3 per 1000, rose againto 28’3 during the week ending May 29h. During the pasteight weeks of the current quarter the death-rate in the cityhas averaged 30’7 per 1000, the rate during the sameperiod being 16’2 in London and 26 6 in Edinburgh. The190 deaths registered in Dublin during the week undernotice showed n increase of 7 upon the number in thepreceding week, and included 15 which were referred tothe principal zymotic diseases, against numbers decliningfrom 41 to 15 in the five preceding weeks; of these,25 resulted from measles, 4 from diarrhoea, 3 fromscarlet fever, 2 from whooping-cough, 1 from "fever,"and not one either from small-pox or diphtheriaThese 15 deaths were equal to an annual rateof 2-2 per 1000, the zymotic death-rate during thesame period being 1’6 in London and 5’2 in Edinburgh. Thefatal cases of measles, which had declined from 19 to 5in the five preceding weeks, were again 5 last week. Thedeaths referred to whooping-cough, which had been 6 ineach of the two preceding weeks, declined to 2 last week.The mortality from "fever" was below that recorded in

any recent week. The 190 deaths in Dublin last weekincluded 36 of infants under one year of ag; , and 51 ofpersons aged upwards of sixty years ; the deaths ofinfants showed a decline, while those of elderly personsexceeded those recorded in any recent week. Saven inquestcases and 6 deaths from violence were registered; and 68,or more than a third, of the deaths occurred in publicinstitutions. The causes of 14, or more than 7 per cent.,of the deaths in the city last week were not certified.

THE SERVICES.

ARMY MEDICAL STAFF.BRIGADE - SURGEON - LIEUTENANT - COLONEL MAURICE

KNOX retires on retired pay.Surgeon - Captain Thompson has been ordered to the

Curragh, and Surgeon - Lieutenant - Colonel Mapleton has’been ordered to the Station Hospital, Shorncliffe. Surgeon-Major R. J. McCormac joins at Woolwich.

INDIA AND THE INDIAN MEDICAL STAFF.

Surgeon-Captain Bedford (Bengal) is appointed to officiateas Chemical Examiner and Professor of Chemistry in theMedical College, Calcutta, during the absence on furloughon medical certificate of Surgeon-Major Waddell, or untilfurther orders. Surgeon-Lieutenant-Colonel W. Barren andBrigade-Surgeon-Lieutenant-Colonel S. M. Salaman haverespectively delivered over and received medical charge ofthe Yerrowda Central Prison. Surgeon-Major Pank hasassumed medical charge of the Jeypore Residency fromSurgeon-Major Harington.

NAVAL MEDICAL SERVICE.The following appointments are notified:-Fleet Sur-

geon Bernard Renshaw to the Pembroke. Surgeons : FrancisJ. Barter to the Medusa; Arthur W. B. Livesay to thePembroke; and Harold G. T. Major to the Blen7tein6.

VOLUNTEER CORPS.

Artillery : : 2nd Cinque Ports (Eastern Division, RoyalArtillery): Howard Marshall, M.B, to be Surgeon-Lieu-tenant. Royal Engineers 2nd West Riding of Yorkshire(Leeds): Surgeon-Captain James William Henry Brownresigns his commission, and is appointed Lieutenant. Rifle:2nd Volunteer Battalion the East Yorkshire Regiment:Burgeon-Lieutenant William Albert Wetwan resigns his com-mission, and is appointed Second Lieutenant.

THE LATE GRECO-TURKISH WARThe additional Parliamentary papers that have been pub-

lished are not, we feel bound to say, calculated to raise ourconception of the motives and conduct of Greece, or of thewisdom of the Hellenic Government in adopting a war policy

and undertaking a campaign against Turkey in oppositionto the advice oE the rest of Europe. The Greeks werequite unprepared for war against so formidable an adversarya9 Turkey. The military, commissariat, sanitary, and medicaldepartments of the Greek army seem to have been badlyorganised and quite inadequate to their self-imposed task,and the consequence has been that, not only have they beenseverely defeated, but an incalculable amount of unnecessarysuffering has been inflicted by the war upon the militaryforces and agricultural population of Greece. By theirprecipitate action in forcing on this foolish war they haverehabilitated the Sultan’s power and imposed a most difficulttask on the Powers friendly to them, when their real strengthwas, like the Israelites of old, to have sat still. All

independent accounts agree in stating that the Turkish warand hospital organisation and arrangements were superiorto those of the Greeks. The English hospital at Chalcis isstated to be excellent. The Queen and Princess Sophia wereexpected to visit and inspect the hospital and its arrange-ments. The total number of wounded admitted to the Athenshospitals was 2363 Of these, 836 are still under treatment,31 have died, and the rest have been discharged.

AMBULANCE SIRVICE ON JUBILEE DAY.The London companies of the Volunteer Medical Staff

Corps are to be requisitioned to augment the Medical StaffCorps in view of the possibility of accident on June 23nd.Mr. Arthur S. Dale, of the Sj. John Ambulance Association,has issued an appeal to the public in view of the largenumber of fits and accidents which may occur on that day.As it will be inconvenient to treat such cases in the road,and as ambulance stations are too few and far between,householders on the line or contiguous to the route who canplace a back room at the disposition of the ambulance servicewill confer a benefit on the afflicted ; and if hotel proprietorsand licensed victuallers will afford ice for ambulance cases itwill be most serviceable in the alleviation of suffering.Offers of help should be made to the Brigade Chief Superin-tendent, Mr. W. Church Brasier, of St. John’s-gate,Clerkenwell.

THE EXAMINATIONS FOR NAVAL SURGEONS.

The undermentioned gentlemen, who competed on the17ch inst. and following days at Examination Hall, VictoriaEmbankment, for appointment as surgeon in the Royal Navy,have been granted commissions :—

Brigade-Surgeon McLeod, retired from the Indian MedicalService, has been selected for appointment as Professor ofClinical and Military Medicine at the Army Medical School,Netley, to succeed Deputy-Surgeon-General Cayley.

THE HEALTH OF THE ARMY IN INDIA.The Pioneer Mail of May 13h states that the Simla

committee on the contagious diseases question did not finishits report early enough to enable the Indian Government toframe its dispatch to the Secretary of State in time for themail, but that it will probably be sent by the next. Mean-while, some additional Parliamentary papers-one of a

statistical nature on the prevalence of the disease in thei Army for many years past, and embracing periods when the

Acts were in force and since their repaal-have been issued.When the proposals of the Indian Government have beenreceived at the India Office we may expect that the questionwill again be taken up in earnest.

THE PLAGUE IN INDIA..We are extremely glad to learn from the Anglo-Indian

papers and the telegraphic report of the Governor of Bombayto the Secretary of State for India that bubonic plague is fastdisappearing in Bombay. The authorities are still, veryproperly in our opinion, exercising the powers conferred uponthem by the Epidemic Diseases Act, and there are no signsof relaxation in their efforts to eradicate the disease fromthe whole Presidency.

ESTERIC FEVER IN INDIA..We regret to learn that (nteric ftvar is prevalent at

Lucknow, the Duke of Cornw.1)l’s Light Infantry being the


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