THE SERVICES

1900 The Lancet  
Sheffield, 11 in Leeds, eight in Leicester, and five in Liverpool. Three fatal cases of small-pox were registered last week in Hull and one in Leeds, but not one m any other of the 33 towns. There were 17 smallpox patients under treatment in the Metropolitan Asylums Hospitals at the end of the week, against 24 and 21 at the end of the two preceding weeks ; one new case was admitted during the week, against five, four, and none in the three preceding weeks. The number of scarlet fever patients
more » ... these hospitals and in the London Fever Hospital on Saturday last, Feb. 10th, was 2089, against numbers decreasing from 3578 to 2179 on the 12 preceding Saturdays ; 157 new cases were admitted during the week, against 207, 190, and 174 in the three preceding weeks. Influenza was certified as the primary cause of 63 deaths in London. The deaths referred to diseases of the respiratory organs in London, which had declined from 1221 to 432 in the five preceding weeks, further decreased last week to 423, and were 53 below the corrected average. The causes of 69, or 1-4 per cent., of the deaths in the 33 towns were not certified either by a registered medical practitioner or by a coroner. All the causes of death were duly certified in Nottingham, Leeds, Hull, Newcastle, and in ten other smaller towns; the largest proportions of uncertified deaths were registered in Portsmouth, Liverpool, Halifax, and Sheffield,. The annual rate of mortality in the eight Scotch towns, which had increased from 23'0 to 23'7 per 1000 in the four preceding weeks, further rose to 27'1 during the week ending Feb. 10th, and was 43 per 1000 above the mean rate during the same period in the 33 large English towns. The rates in the eight Scotch towns ranged from 15 9 in Leith and 22 in Aberdeen to 31'3 in Dundee and 57'3 in Perth. The 836 deaths in these towns included 19 which were referred to measles, 18 to diarrhoea, 14 to whooping-cough, seven to 11 fever," three to scarlet fever, and not one either to small-pox or diphtheria. In all 61 deaths resulted from these principal zymotic diseases, against 81 and 66 in the two preceding weeks. These 61 deaths were equal to an annual rate of 2-0 per 1000, which corresponded with the mean rate last week from the same diseases in the 33 large English towns. The fatal cases of measles, which had declined from 32 to 25 in the three preceding weeks, further decreased last week to 19, of which 15 occurred in Glasgow and three in Paisley. The deaths from diarrhoea, which had been 23 and eight in the two preceding weeks, rose again to 18 last week, and included six in Glasgow and six in Dundee. The fatal cases of whooping-cough, which had been eight in each of the three preceding weeks, increased last week to 14, of which six were registered in Glasgow, four in Perth, and two in Aberdeen. The deaths referred to different forms of 11 fever," which had been three and five in the two preceding weeks, further rose to seven last week, and included four in Glasgow and two in Edinburgh. The three fatal cases of scarlet fever showed a decline of eight from the number in the preceding week, and were all registered in Glasgow. The deaths referred to diseases of the respiratory organs in these towns, which had been 172 and 212 in the two preceding weeks, further rose to 241 last week, but were 105 below the number in the corresponding period of last year. The causes of 27, or more than 3 per cent., of the deaths in these eight towns last week were not certified. ____ HEALTH OF DUBLIN. The death-rate in Dublin, which had declined from 50'3 to 35'5 per 1000 in the five preceding weeks, further fell to 29-7 during the week ending Feb. 10th. During the past four weeks the death-rate in the city has averaged 37'0 per 1000, the rate during the same period being 22-3 in London and 24'8 in Edinburgh. The 199 deaths registered in Dublin during the week under notice were 39 below the number in the preceding week, and included 17 which were referred to the principal zymotic diseases, against 10 and 12 in the two preceding weeks; of these five resulted from diphtheria, five from whooping-cough, three from measles, two from scarlet fever, two from diarrhoea, and not one either from small-pox or from "fever." These 17 deaths were equal to an annual rate of 2'5 per 1000, the zvmotic death-rate during the same period being 1'8 in London and 0 in Edinburgh. The deaths referred to diphtheria, which had been three, one, and two in the three preceding weeks, further rose to five last week. The fatal cases of whooping-cough, which had been three and none in the two preceding weeks, rose again last week to five. The deaths from measles, which had declined from 18 to four in the four preceding weeks, further decreased to three last week. The two fatal cases of scarlet fever showed a slight excess over the average of recent weeks. The 199 deaths in Dublin last week included 30 of infants under one year of age and 66 of persons aged upwards of 60 years; the deaths both of infants and of elderly persons showed a decline from the number in the preceding week. Four inquest cases and three deaths from violence were registered, and 56, or more than a quarter, of the deaths occurred in public institutions. The causes of 14, or more than 7 per cent., of the deaths in the city last week were not certified.
doi:10.1016/s0140-6736(01)87097-5 fatcat:fb4erhsaszaqraqgrd2bpd2xnq