THE SERVICES

1883 The Lancet  
which had been equal to 25 0, 26-1, and 26'9 per 1000 in the three preceding week-', further rose to 28 5 in the week ending the 26th ult. ; this rate exceeded by no less than 7'2 the mean rate last week in the twenty-eight English towns. Therates in the Scotch towns ranged from 19'2 in Leith to 32'6 in Glasgow and 36 in Dandee. The deaths in the eight towns included 124 which were referred to the principal zymotic diseaseq, showing a decline of 25 from the high number in the previous week;
more » ... were, however, equal to an annual rate of 5 '2 per 1000, whereas the mean rate from the same diseases in the large English towns did not exceed 2 3. The 41 fatal cases of measles showed a decline of 26 from the exceptionally high number in the previous week; but included 33 in Glasgow, 4 in Greenock, and 3 in Edinburgh. The 39 deaths from whoopingcough, of which 19 occurred in Glasgow and 8 in Dundee, corresponded with the number in the previous week. The deaths attributed to diarrhoea, somewhat exceeded recent weekly numbers. Of the 13 deaths referred to diphtheria, 5 were recorded in Glasgow, and 2 each in Dundee, Leith, and Edinburgh; with regard to the 2 deaths reported by the Registrar-General from this disease in Edinburgh, we notice that Dr. Li'tlejohn does not report any in his weekly return. All the eight fatal cases of scarlet fever, and 5 of the 8 from other forms of "fever," were returned in Glasgow. The 149 deaths from acute diseases of the lungs in the eight towns exceeded the numbers returned in recent weeks, and were 31 above the number in the corresponding week of last year. The causes of 112, or nearly 17 per cent., of the deaths registered in the eight towns last week were not certified. HEALTH OF DUBLIN. The rate of mortality in Dublin, which in the three preceding weeks had been 34 '0. 31 '6, and 29'5 per 1000, further declined to 27'5 in the week ending the 26th inst., a lower rate than has been recorded in any week since the middle of January last. During the first eight weeks of the current quarter the death-rate in this city averaged no less than 33 0 per 1000 ; whereas the mean rate in London and Edinburgh during the same period did not exceed 22'0 and 21'9 respectively. The 184 deaths in Dublin last week showed a decline of 14 from those returned in the previous week, and included 10 from whooping-cougb, 9 from " fever," 1 from diphtheria, 1 from diarrhoea, and not 1 either from small-pox, measles, or scarlet fever. Thus 21 deaths resulted from these principal zymotic diseases, against 20 and 18 in the two preceding weeks; they were equal to an annual rate of 3'1 per 1000, against 23 and 2'4 from the same diseases in London and Edinburgh respectively. The deaths referred to whooping-cough, which had been 4 and 7 in the two preceding weeks, further rose to 10 last week. The fatal cases of "fever," which in the two preceding weeks had been 12 and 6, rose again last week to 9. The death from diphtheria was the third that has been recorded in this city since the commencement of the year. The deaths of infants showed a considerable increase, while those of elderly persons almost corresponded with those in the previous week. The causes of 21, or rather more than 11 per cent., of the deaths registered during the week were not certified-a smaller proportion, however, than in any previous week of this year. , THE SERVICES. ARMY MEDICAL DEPARTMENT DINNER.
doi:10.1016/s0140-6736(02)37939-x fatcat:5t27tgrms5gdph55vgdrvxgvbq