chief medical officer.€¦ · 1875. victoria. chief medical officer. rbturn of diseases and deaths...
TRANSCRIPT
1875.
VICTORIA.
CHIEF MEDICAL OFFICER.
RBTURN OF DISEASES AND DEATHS
IN THE
V ARIOUS ESTABLISHMENTS UNDER THE CHARGE OF THE
CHIEF MEDICAL OFFICER,
FOR TIlE YEAR
1874.
PRESENTED TO BOTH HOUSES OF PARLIAMENT BY HIS EXCELLENCY'S COMMAND.
1811 llutbOtttl1' GEORGE SKINNER, ACTING GO~RNMENT PRINTER MELBOURNE.
No 20.
Preparation-Nil. ii-illting (776 copies)
APPROXIMAT~ COST OF RETpRNS.
.............. , .1. ~ •
-£ .!. a: 33 10 0
MEDICAL DEPARTMENT,
Melbourne, 30th April 1875.
No. 75/1548.
SIR,
I have the honor to transmit to you enclosed herewith, for
. the purpose of being printed and presented to Parliament, Returns,
as per margm, of Diseases and Deaths which occurred in the several w:~~~eStg~Ude. Jika Relorm",tory, CobUrg. Pen"l Huik Sacrament(). Industrial Scltool, Mel-bourne~
IndUJ!trial School, Sunbury. establishments under my medical charge during the year ended 31st .. GeeJong.
H BaJlarat~ Gaol, Geelong.
H Castlemaine. II Balla.rat. H Beechworth.
D b 1874 ,. Sandhurst. ecem er . Battery of Garrison Artil-lery.
I have, &c"
,V. McCREA,
Chief Medical Officer.
The Honorable the Chief Secretary,
&c., &c., &c.
A 2
RETURN OF DISEASES AND DEATHSo
MELBOURNE GAOL.
RETURN of Diseases and Deaths at the Melbourne Gaol during the Year 1874.
ti oi ..i't:i ti ... . ,00 !;; ~ " ....
,,00 "" ,,~ ,,'0 .c" "'0 .c OgJ .c.8 8"'il ".c 8 . !;;E:; 8" ~~
A" ,," ,,:: DIseases. ~~ Z~ "-" Diseases. "" ZE-< "'- .coo
~" ... 0 Ol" ~d OlgJ $~ ,,~ ~A "0 ~" 0" "0 ~'g A'g 0" E-<O <Ii+' E-<O ------- ---
CLASS I.-ZYMOTIC DISEASES. Days.
CLASS III.-LOCAL DISEA'SES-
Order I.-Miasmatic Diseases: continued. Measles ... '" ... 23 9 2 8'7 Order 3.-Diseases of the Respira-Cynanche ... '" ... 45 4 ... ... tory Organs: Influenza ... ... ... 76 3 ... ... Bronchitis ... ... .. . 140 Erysipelas .•• ... . .. 9 20 ... . .. Pneumonia ... . .. 3 Dysentery .•• '" ... 26 6 1 3'R4 Asthma ... ... . .. 4 DiarrhOla '" ... 139 4 1 0'72
Order 4.-Diseases of the Digestive Rheumatism '" ... 77 14 ... ... Boil, including Carbuncle ... 38 9 .. , ... Organs:
4 Ague ,1 12 Hernia ... ... ... ... ... . .. ... ... Colic 42 Milk Fever 1 3 ... ... . .. ... ... ... ... Dyspepsia ••. 229 MumpR 1 3 ... ... ... '" ... ... ... Hremorrhoids 6 Pertussis 3 8 ... ... ... '" . .. ... ... Hepatitis 5 Diphtheria 1 10 ... '" ...
'" ... ... ... Jaundice 1 ... ... ... Order 2.-Enthetic Diseases: Prolapsus Recti ... ... 1
Syphilis, includin/! Bubo, Con- Aseitis .. , ... ... 1
dylomata, and Phimosis ... 39 20 ... .. . Order 5.-Diseases of the Urinary GonorrhOla ... ... 45 8 ... . .. Organs: Stricture ... '" ... 9 45. ... ... Enuresis ... ... '" 7
Diuresis ... ... . .. 2 Order 3.-Dietic Diseases: Uroomia ... . .. . .. 1
Delirium Tremens '" ... 113 4 ... ... Order 7.-Diseases of the Locomo-Alcoholism '" ... 271 2 ... ...
tive System: AscaridEs ... .. , . .. 7 3 ... . .. 28 Arthritis ... '" . ..
Order 4.-Parasitic Diseases: Caries ... ... . .. 1
Scabies 71 3 Synovitis ... ... . .. 1 ... '" ... ... . .. Worms (Tape) '" ... 1 11 ... ... Order 8.-Diseases of the Integu-Impetigo ... ... 2 12 . .. ... mentary System; Hydatid Cyst '" ... 1 44 ... ... Eczema .. . ... ... 12 Aphtha ... '" ... J 1 ... ... Psoriasis ... . .. . .. 26
---- ------- Acne ... ... . .. 5 Total, Class I. ... 1,000 6 4 0'4 Lichen ... ... .., 7
--- ------- Urticaria ... ... . .. 3
CLASS II.-CONSTITUTIONAL Phlegmon and Whitlow ... 27
DISEASES. Ulcers ... '" . .. 98 Herpes ... ... . .. 1
Order I.-Diathetic Diseases: Ecthyma ... ... . .. 3 Tumor 2 39 ---... '" ... ... ...
Total, Class III. 902 Cancer 1 66 1 100' ... ... '" ... A nasarca and CEdema 2 2 CLASS IV.-DEVELOPMENTAL ---... ... ... Cancrum Oris '" '" 3 12 1 33' DISEASES.
Order 2.-Tubercular Diseases: Order 2.-Developmental Diseases Scrofula ... '" ... 4 6 ... ... of Adults: Phthisis 3 54 1 33' LeucorrhOla ... . .. 12 ... '" ...
Menonhagia 6 Abscess 31 9 ... . .. ... '" ... ... ... Parturition 11 -- ... . .. --- ----- Abortion 2 Total, Class II. 46 14 3 6'52 .,. ... . .. ... AmenorrhOla 3 --- -- -- --- ... ...
CLASS I11.-LOOAL DISEASES. Order 3.-Developmental Diseases of Old People;
Order I.-Diseases of the Nervous Debility ... . .. . .. 9 System: Order 4.-Diseases of Nutrition:
Convulsions '" ... 1 3 ... ... Marasmus ••• . .. . .. 1 Paralysis ... '" ... 4 73 ... . .. ---Epilepsy '" ... 39 20 ... ... ,
Total, Class IV. . .. 44 Insanity and Dementia ... 33 12 1 3'03
CLASS V.-VIOLENOE . Supposed Insanity '" ... 57 7 ... ... Neuralgia ..• '" ... 45 10 ... ... Order I.-Accident or Negligence: OtorrhOl'\ '" ... 12 14 ... . .. Sprains ... . .. ... 43 Ophthalmia '" ... 45 16 ... ... Fractures and Contusions ... 41 Apoplexy ... . .. 4 I 4 100' Burns . .. ... ... 3 Congestion of the Brain ... 3 6 3 100' Wounds ... ... ... 53
- ---Order 2.-Diseases of Organs of Total, Class V. ... 140
Circu lation : ---Disease of the Heart ... 1 4 ... ... Tot,al of all Classes ",1 2,132
I I
Average dally numerical strength of establishment Deaths per cent. of ditto Cltses of sickness per cent. of ditto
. 451 4'434
472'72
I~ "" $ "'0
~~ 8 . ,," ,,'"
Z~ .. " ,,-... 0 ~" " ~ 2!A "0 0_ <Ii+' E-<o ----Days.
8 ... 3 2 5 ...
3 ... 2 . .. 4 . .. 7 ... 8 ...
23 ... 3 ...
51 ...
5 ... 8 ... 3 1
11 ... 17 ... 45 ...
30 ... 24 ... 29 ... 19 ... . 4
'" 9 ...
14 ... 10 ... 4 ...
-- --10 11 ----
9 ... 3 ...
13 ... 3 ...
19 ...
21 1
7 1 --_ ... -12' 2 _1-
10 ... 9 . ..
24 . .. 7 . ..
----9 ...
----8 20
.,i.o a.8 0" ... :: "E-< ~~ ~gj
,!~ ---
.. . 66'6 .. .
.. . ... ... . ..
...
.. . ... ...
...
... 100'
...
. .. '"
... '" ... ... ... ... . .. ... ...
. 1'219 ---
... . .. . .. . .. . ..
11'11
lOO' ---
4'54
. .. . ..
. ..
. .. ---... ---
0'938
6
RElI'IAHKS.
. The average daily number of officers and prisoners in the gaol in 18'i4 was 451, the average for the previous ten years bemg 388. 1'he'll~mber of eas~s of siekne,s was 2,132, being less than dUl'ing the preceding year by 77 per cent. on the inmates, and greater by 10 ,pCI' cent. than the ave"age of the ten pl'evious rears, The mortality was greater than usual, being 1'1 per cent. greater than' 1873, and 4 per cent. greater than the average for the ten pl'evious years.
All the serious sickness and all the mortality was owing to causes independent of the gaol, many cases of chronic and some of incurable disease having been sent to the gaol in the ahsence of room in the puhlic hospitals, benevolent asylnms, &c, These persons were mostly of the ct'iminal class, but several of them had committ<ld no crime, lind were sent to gaol to preserve them fr.om d~sti~ution. The disease of ~ellsles was impo~ted into the gaol in n~ost, if not in all of the cases, but by prompt and clt!'efullsolat~on.1t was preve~te.d spreadml[5 to r,he other mm1\te~ of the, esta?h"hment. 'rhe abuse?f alcoholili liquors was, as usual, the prlnclpal source of dIsease', one m every ,five cases of SIckness resulting from drunkenness dti'cctly; and many others as u~~~~=~~~ ,
CLASS I.-ZnloTlO DISEASES.
Order I.-Miasmatic Diseases. . These diseases were less numerous than during the preceding year;' measles were more numerous and s~vere, two deaths m ·very sickly children resulting from the disease, Cynanche, influenza, and whooping.cough were less prevalent. Diseases of the Q?wels were abo~t as numerous as 'in the preceding year, but less fatal, the' case {If dysentery occurring in a man who was suff"rmg from the disea~e when he came into gaol, and, who succumbed after an illness of 24 days. The death from'diarrhrea occurred in a half-starved child of three months old.
Order 2,-Enthetic Diseases. These diseases were slightly less numerous than in the previous year, and in most cases easily 'amen~b.le to treatment,.
Venereal disease is manifestlJ' less prevalent in this colony than in Europe.
Ot'der S.-Dietic Diseases. Three hundred and eighty-fou,· cases of diseas~ directly caused' by drink is a sad comment on our morality. These.people
are hrought irito the gaol;treated with all the 'care lind appliances of modern science,their worthless lives saved, and themselves, after a few days comfortahle 80journ in t.he ,gaol hospital, dischlll'ged only ~o repeat, their offeuce, In several cases of; persons remanded for medical inquiry, suffering [I'om delirium tremens, I have certified to their lives being endangered by constant dl'inking, and the mllgistmtes have sentenced them toa longer term of imprisonment, of~en :-vith great benefit,~o the.persons so sentenced; but when merely sent to gaol for drullkenness for a few days they al'c not brought before the benches again,and they go £t'ee; if they were sentenced to hard labor till the results of theit: toil paid the cost orthe care taken abou~. them, it. would tend to check drunkeuness materially, " ., ,'. l
. Order 4.-Parasitic 'Diseases.
The diseases of this order were less numerous than usual, qnly a half of what OCCUlTed during the previo~s year, itch being the principal. ' "
CLASS II,-CONSTlTU'l'lOXAL DISEASES,
Order I.-Diathetic Diseases:
. ~hese diseases were by no means numerous, but the mortality in proportion was considerable. A case of cancer in the neck i)l a'poor fellow 57 years old, who was sent to the gaol for!,o crime, but
l merely to pl:ovide for him; he lingered ,66 days
before his death. 'I'he ease of cancrum oris occurred in a child nearly 2 'years old, after 29 days' illness'.
Order 2.-Tubercular Diseases, . Ther~ were three cases of phthisis in this ordei'; onc in a woman of 67, years ended fatally. the other two, in young men,
were recovering under treatment. . CLASS III.-LoOAL DISEASES.
, Order I.-Diseases of tlte Nervous ,System, ' .. 'These diseases were very numerous, very serious, and attended with unumal mortality: The case of dementia occurred
in II man 75 years old, lind ended fatally after 25 dnys in hospital. The four fatal cases of apoplexy were as follows:-qne, a man 6i, years old, was llnde!' trC<1tmcnt for dian'ham for 12 day~, whet~ it suddenly terminated in serous apoplexy, the liver and lungs being also diseaRed; the second in a man aged, 40. who was admitted with comatose symptoms, from whieh he died the next day, the skull being fractnred, lind" large clot of blood 011 the hrain; ,the third in'a llIall aged 42, who was a(lmitted with a wound On t.he head, and died the same day with blood effused in the brain, but no fmoture of the bones j the fourth in a man who was admitted at half-past twelve o'clock, nnd died in an hour and half afterwards, the cavities of the ,brain being filled with fluid. Of the three fatal cases of congestion of the brain. one occurred in the celehrated !Haher, the claimant to the Buckley estates, he was"parnlysed all the time he was in gaol-83 days-and dicd ILf~er a short illness, the bl'ain being diseased; the second occurred in a man aged 48, who WaS admitted H days previously as an imbecile lunatic; the third occurred in a lUall aged '53, who was admitted with 'hrain symptoms, and died in 3 days, Everyone of the above seven eases werc the result directly or indirectly of drink.
Order 3.-Diseases of tlte R~spiTator,l/ System. Lung diseases were somewhat less nUJ'ncl'OUS than usual, hut atten'dod \vith more mortality, One case of fatal disease of
the lungs was admitted on the 30th May, and died in two days from pneumonia; the other was first attacked by rheumatism for five days, and afterwards by pneumonia, which killed him; he was found to be also afflicted with extensive softening of the brain, whieh doubtless had some'share in producing the ffttal issue. '
Order 4,-Disea.~es of the Digestive Organs. T~ese were, as usual, very numerous, but of little, importance, and mostly caused by food or drink.
Order 5.-Diseases of the Urina1'Y Organs. These were not lIumerous, the death from urremia'l'esulting from diseased kidneys.
. Order 7.-lJiseases of tlte Locomotive System. , The principal of these diseases was arthritis, acute inflammation of the joints, mostly in gouty' and' rheumatic 'subjects j
they were very amenable to the treatment adopted, only occupying an avera!!,? of eleven.days for their cure, ", .. , '
Order $,-Diseases of the Integl!m~n'tar,l/ System. These diseases were as numerous as usual, occupying a considerable dme in their cure, but possessing no 'features of
interest. The dry atmosphere of the colony, and the large amount of animal food consumed, tends, in my opinion, greatly to cause these diseases, ;
CLASS IV,-DEVELOPMENTAL DISEASES,
Order S.-Diseases of Old People. One fatal case of debility Occurred in a man 78 years old.
Order 4.-lJiseases of Nutrition, .... ~ ... One C,lse of marasmus in a child four months old, who was wnsted to a shadow on admission, terminated fatally in ',7' days.
The child was neglected by a unlllkcu mother, and hud been twice previously cured in the gaol; the mother was tried, but e8cape~ by I!o~te ~lIwflllV:, The .remaining C[lS~S <!I'C not of sufficient importance to require I!omment,
W. l\IoCREA, Chiei llIedicai Officer.
PENTRIDGE ~TOOK~D~., ,
RETURN of Diseases and Deaths at the Penal Establishment, Pent ridge (treated in Hospital), during the Year 1874.
DlseW!es.
CLASS I.-ZVMOTIO DISEASES. Order i.-Miasmatic Diseases;
Boils nnd Carbuncles Influenza •.. ... Cynanche... . .. Tonsilitis ... ... Dysentery... • .. Diarrhooa... .. . j1~ng1ish Cholerll .. . Erys; pel as .. . Febricular... .. . Scarlatina... . .. Colonial Fever .. . RheumaticFever .. . Pyremia ... Rheumatism ... Lumbago... . ..
Order 2.-Enthetic Diseases; Secondary Syphilis .. . Syphilitic Bubo .. . G1eet ... . •• Stricture of Urethra Dysuria ...
Order 3.-Dietic Diseases.
.. ;
Days.
8 !l 51 7 3 8 4 14 2 68
46 3 2 4 1 7 4 21 1 9 1 22 1 48 1 29
16 10 10 3
1 21 2 17 1 6 7 12 2 ~
....
Voluntary Starvatiou Drunkeuuess .•.
Total, Class I.
:::1 ~ g::::'i~::: I '--,-I-i
... '166 8 ... • ..
C:LASS II.-CONSTl'l·UTIONAL DISEASES.
Order I.-Diathetic Diseases: Tumor of Cheek... ... <Edema of Lungs ... (lout (Rhcumatic) .•. . .. Polypus Narillm... . ..
Order 2.-Tubercular Diseases: Phthisis ... Phthisis (threatening) Hremoptysis ... Scrofula... .. . Abscess... .. . Hremorrhage of the Bowels ...
Total, Class II. CLASS lIl.-LoCAL DISEASES.
Order I.-Diseases of tlte Nervous System:
Congestion f)f Brain .,. !'rEnd affected ... . .. Epilepsy... ••• • .. Paresis... ... ... Vertigo ... • •• Diseased Ulna ... ... Otitis ... ... . .. Otorrhool1... .., ... Hypochondriasis... • •• Neuralgia... ... ... Ophthalmia ..• . •.
Order 2.-Diseasesofthe Organs oj Circu lation : .
Heart Disease ... • •• AneuriRm of Aorta ..• • •. Endocarditis ... . •• Syncope... ,.. . .. Varicose Veins ... . ..
1 16 1 1 4 17 1 24
1 100'
2 177 50' 3 101 .. . 6 8 ... I ... 2 7 ••• I ••• 6 118 ... I ... 1 19 ... . ..
27 85 i 2 I 7-40 ----------
2 Ii 1 15 7 9 1 272 1 7 1 7 2 9 1 38 5 4 6 .5 7 62
7 2 1 2 4
13. .,. 55 11 3 5
CLASS III.-LoOAL DISEASEScontinued.
Order S.-Diseases of the Respi-ratory System:
Bronchitis... •.. ... Pneumonia ... .., ,. Congestion of Lungs ... I
Plcudsy... ... . ... , Asthm·a... ... .. .
Order 4.-Diseases of the Digestive Organs:
Hremo1'l'hoids ... .. . Hernia. ... .'.' .. . Fistula.... ... .. . Gastro Enteritis ••• .. . Dyspepsia (acute anq. chronic,
including cases of colicky pain and irritation of bowels)
Organic Dis~ase of Digestive Organs ... ... . ..•
Diseased Liver ••• ... Ileus .•. • .. Ascites·... ... .. . Perforation of Abdomen .. .
Order 5.-Diseases of the Urinary Organs:
Congestion of Kidneys
Order 6.-Diseases of the of Generation:
Orcliitis . :.: Hydrocele··" ,', '"
Organs
Order 7.-Diseases of the Joints : Curvature of Spine ••. ., ••.
" Diseased Femur ... • •• Diseatied Tibia.... .., Diseased Knee Joint .•• Sciatica ••• ••• '"
Ol'd~I' 8.-Diseases of the 'Integu-mentary System:
Whitlow .••• Ulcers .•• Skin Disease
Total, Class III.
8 21 '8 28 1 2l 2 9 8 8
2 11 1 .! 1 15 1 7
128 6
4 16 4 '23 3 9 1 28 1 7
1 7
1 II'
37 4
1 334 1 7
21 90 32
1 1 3
2 11 ••• S i 14 .. .
4.1 7.i .... -=-242 I 13 ... . ..
----- --:---Cuss IV.-DEVELOPMEJIITAL \
Order 4.-Developm,ental Diseases DISEASES. I:
of Nutrition: 1
Debility... ... .... 19 i 5 "'; ...
.Total, Cla~8 IV. CLASS V.-VIOLENOE.
Order I.-Accident or Negligence: Sprain... ... ' ••• Coup·dc-solei! ... .. . Struck with a Garden Hoe .. . Other Accidents... • ••
19 5 '----------
5 4 1 6 1 43
18 I 7 . ..
. ~ 1
Total, Class V.
Total of all Classes
... 25~I~i-··-·
.. , 479121-21 0'42
Number of cases of sickness per cent thereon 66'90 Internal, 479; External, 2,094 .•. Average daily numerical strength of the establishment 716 I Numberof cases treated in the establishment-
Number of deaths per cent. on ditto 0'28 Avcrage daily number of patients.in hospital 2,573
14
REMARKS. DUling the last year there was not one case of inTe'ctioue illness among the prisoners in the Stockade. Outside the walls
cases of scarlatina; diphtheria, a.nd measles were numerous. Owing to strict clea.nlines and proper observance of sanitary laws, the prisoners have completely escaped those visitations.
There were two cases of insanity scnt to Yarra Bend Asylum. No cases of attempted suicide. Accidcpts were all slight .. ClIseK of illness were not so numerGUS aff usual, but many of those ca~es were of C:Ktreme severity. There were two deaths:-Otle man WIiS found dead in his cell from redema of the lungs, the other death 'was from
pulmonary consumption.
pentridge Hospital. 27th Janllory 1875. J. HEED, M.D.,
/ Resident Surgeon,
8
JIKA REFORMATORY SCHOOL, COBURG.
RETURN of Diseases and Deaths at the Jika Reformatory School, Coburg (treated in Hospital), during the Year 1874.
"
...
...
"
.
Total Average Total Death. Number Duration Number per
DIseases. of 01 of Cent.o( Oases e",chOasa. Deaths. OMes
Trealed. Treated.
CLASS I.-Zn!OTlO DISEA8E1!. Days. Order I.-Miasmatic Diseases:
Boils ... ... ... , .. . '" 4 17 ... ... ... Influenza 10 4 ... ... .. . ... .. . ... .. Cynanche ... ... ... . .. ... 11 5 . " . ..
Febricula' '" ... ... . .. 7 6 ... . ..
Scarlatina 'Mitis ... ... ... . .. 1 24 ... .. . Rheumatism ... ... ... . .. ... 6 10 . .. .., Lumbago ... '" ... . .. ... 1 3 .. . ...
... Order 2.-Enthetic Diseases:
Dysuria ... . .. ... . .. ... 1 2 I ... . .. Total, Class I. ... ... ... 41 7 ... . ..
---------------CLASS H.-CoNSTITUTIONAL DISEASES.
... Order 2.-Tubercular.Diseases:
Hydrarthrus of Hip Joint·· ... ... ... 1 46 '" ... .. Hydrarthrus of Hip Joint threatening 2 22 ... . .. ... ... ... Scrofula' . 1 8 ... . .. ... ... . .. \ '" ... Abscess ... . .. ... . .. . .. 3 7 ... '"
Total, Class II. ... ... ... ... 7 17 ... .. . ----
CLASS m.-LOCAL DISEASES.
Order 1.-Diseases o/the Nervous System:
Convulsions ... ... ... ... .. . 1 4 . .. ... Ophthalmia ... ... ... ... . .. 9 II ... . .. Otitis ... . .. . .. ... . .. 1 16 ... . .. Otorrhooa. ... .., ... ... ... 4 6 ... .. .
.. Odontalgia '" ... ... ... .. . 2 2 '" ... ... Order 4.-Diseases of the Digestive Organs: .
Dyspepsia (acute and chronic, including cases of colicky pain and irritation of bowels) ... '" 40 4 ... ...
0
Order 8.-Diseases 0 the lnte 1tmentan S stem: g y y
8 6 __ 6_5_1_~1 ... _1 __ _
'Skin Diseaae(Eczema, Herpes, Psoriasis, &c.)
Total, Class III.
CLASS V.-VIOLENCE.
Oruer I.-Accident Qr Negligence:
Sprains ... ... ••• .. . Bl1lises, Cuts, and other min.or Accidents .. .
.,. 3 11
Total, Class V. 1--14-Total of all Classes 127
Average daily numerical strength of the establishment Number of cases of si~kness per cent thereon
"Number of cases treated in the establishment"{ iE~~;:!i, ~~ } Average daily number .of patients in h.ospital ... • ..
REMARKS.
This is the second year of the existence of the Jika Reformatory. There has been no death during 1874.
12 9
9
7
I
138 92"03
491
3s'\ll;
'fhere has been n.o serious illness of any kind;' ~ . There has been no infectious illness whatever •. Immediately.out.side the walls of' the reformatory, searlatinll, diphtheria .of' the ·mosi. virulent kind. causing many deaths i measles, hundreds of cases, have all been in existence during 1874. Inside the walls, strict cleanliness has been the law of the place-cleanliness hoth of I he person, .of the dormitories, of the beds and bed clothes. 'fhe sewerage is good; the air is pure and f,'ce from pollution; the water and food are wholesome. As a direct consequence of this state of things, the health of the boys has been everything that could be wisheu for or expected. 'l'he contrast with the outside is most stl'iking. Outside, fiLth is prevalent, polluting the air, and, as a direct consequent thereof, cases of illness have been numerous, severe, fatal. Cleanliness and f1lth, hcalth and disease, have never been placed in more striking or closer contrast.
Jib Reformatory Sch.o.oI, Coburg, 27th January 1875.
J. REED, l\<1.D., !II edieal Officer in Charge.
9
PENAL HULK "SACRAMENTO," RIVER YARRA.
RETURN of Diseases and Deaths on board the Penal Hulk Sacramento during the Year 1874.
~
" ;..i..o ~
0 '00 S.8 0
t.c .. ... "" ,,'C ~o Z 0'" .c" .cZ ~-5 10 • " s~ 10'" ....
Dlsea.ses. "i!:: "", ,,~ "Eo< Diseases. "i!::
ZEo< .. " Z,;l ~~ ZEo< eOS = .cOO
~~ :SA ~'" 3~ "c fQ 0'" !i~ ~'o
0::J Eo< 0 I=< OS Eo< 0
---------- ---CLASS I.-ZYMOTIO DISEASES.
Days. CLASS IlL-LoCAL DISEASES-
Order I.-Miasmatic Diseases: continued.
Aphtha ... ... ... 2 4 ... .. . Order 2.-Diseases of the Organs of Boils ... ... .. . 9 9 ... .. . Circulation: Carbuncle ... ... ... 3 8 ... ... Palpitation ... ... 3 Catarrh ... , ... ... 3 3 ... .. . Valvular Disease of Heart ... 1 Coryza ... ... .. . 1 I ... ... Varicose Veins ... ... 1 Cynanche ... ... ... 4 10 ... ... Diphtheria ... ... 1 4 ... ... Order 3.-Diseases of the Respira-Diarrhcea ... ... 21 5 ... .. . Dysentery ... 7 10 ... .. . tory System: ... ... Bronchitis (chronic) .•. 10 Erysipelas 1 4 ... ... ... ... ... Fever (slight) ... ... 1 3 ... .. . Influenza ... ... ... 24 3 ... ... Order 4.-Diseases of the Digestive Pleurodyne ... ... 5 8 ... ... Organs: Rheumatism (chronic) ... 18 3 ... ... Colic ... ... . .. 1
Dyspepsia ... ... ... 37
Order 2.-Enthetic Diseases: Fistula in Ano ... ... 1
Gonorrhcea 2 12 Gastralgia ... ... ... 1 ... ... ... ... H mmorrhoids 5 Syphilis 2 13 ... ... ... ... ... ... .. . Hernia (inguinal) 4 Stricture (Urethra) ... 1 1 ... ... ... ... ... Melmoa 1 ... ... ...
Tormina ... ... . .. 3 Order 4--Parasitic Diseases:
Worms (Ascarides) ... ... 7 4 ... ... Order 5.-Diseases of the UrinUl'y ------- --- Organs: Total, Class I. ... 112 5 ... ... Rentention of Urine ... 1 ----------Order 8.-Diseases of the Integu-
CLASS II.-CONSTITUTIONAL mentary System: DISEASES. Chilblain 1 ... . .. ...
Order I.-Diathetic -Diseases: Corn ... ... . .. 1 Cancrum Oris ... ... 1 30 ... ... Lepra Palmaris .. . ... 1
Psoriasis ... ... . .. 1
Order 2.-Tubercular Diseases: Ulcers ... ... ... 5
Abscess 11 11 Whitlow ... . .. ... 6 ... ... ... . .. ... ---Glandular Swelling ... ... 1 8 ... .. . Total, Class III. 97 Hremoptysis 2 21 ... ... ... .. . ... ------ -------
Total, Class II. ... 15 13 ) ... ... --- ------- CLASS V.-VIor,ENCE.
Order I.-Accident or Negligence:
CLASS III.-LOCAL DISEASES. Contusions ... ... ... 13 Dislocation of Elbow Joint ... 1
Order I.-Diseases of the Nervous Fracture of Fibula ... ... 1 System: Scald ... ... ... 1
Conjunctivitis ... ... I 6 ... ... Sprain .. . .. , ... 23 Congestion of the Brain ... 1 2 1 100' SunbUl'n ... ... ... 1 Neuralgia ... ... ... 1 1 ... ... Wounds .. . ... ... 19 Odontalgia ... ... 3 1 ... .. . ---Ophthalmia ... ... 2 10 ... ... Total, Class V. ... 69 Otitis (chronic) ... ... 1 14 ... .. . ---Pterygium ... ... 3 5 ... .. . Weak Eyes .... ... ... 1 1 ... ... Total of all Classes ... 283
Average daily numerical strength of establishmcnt
Deaths per cent. of ditto
125
0'80
226'40 Cases of sickness per cent. of ditto
REMARKS.
1:2 "":rd c" "'''' ,,~
"0 o:l =.e .... 1=<" "Eo< "oS "'00 bO" ,," ,,~ .c'" .. 0 ~" "c =0
~~ A'S -----Days.
11 ... 18 ... 12 ...
10 ...
8 ... 5 ...
12 ... 1 ... 3 ... 2 ... 2 ... 3 ...
4 ...
4 ... 3 ...
21 ... 3 ...
26 ... 12 ... -- ---
7 1 -- ---
11 ... 65 ... 18 ... 21 ...
4 ... 4 ...
12 ... -- ---
9 '" -- ---
7 1
Iil .c 13,; Z~ !~ 8'0 --
...
...
.. .
...
... .. . •• 0, ... ... .. . .. . .. .
.. .
... .. . ...
... '" ... --1'03 --
.. .
...
. .. ... .. . .. . .. . --.. . --0'35
The average daily number of officers and prisoners on board the Sacramento in 1874 is nearly the sallie as ill 1873, viz., 125. The number of cases of sickness i~, however, less, viz., 283.
The same similarity in the character of the sickness still exists.
There has been one death. On July 27th the man showed slight symptoms of cerebral congestion; on 29th, whilst stooping, he fell forward, and almost immediatelY died. A pOtit mortem 8howed the cause of death to have been rupture of the occipital artery, doubtless accelerated by a general softening of the brain, which was found to exist.
3rd March 1875. AND. PLUMMER, M.D.,
Medical Officer.
10
MELBOURNE INDUSTRIAL SCHOOLS.
,RETURN of Diseases anil Deaths at the Melbourne Industrial Sc~oolsduring the Year l.a7,4.
CLASS I.-ZYMOTIO DISEASES.
Order I.-Miasmatic Diseases:
Chicken-pox ... Measles ••• • ..
·Sca~iat.ina. .~. .B·· piphtheria ... :Whooping-cough •.. Typhoid '/;'ever, &c. Erysipelas, ... Boils ... ... Influenza ... n.
DiarrhOl& .,.
- -'IDilys,
11 ,!l 2 2
15
21 26' 1 40 ... 22 1
1 2
64 10 '6 6 9
2
50' 6'66
11'11 .. ... IS 1 3 7 6 1 Remittent Fever ...
Rheumatism ... ,Oplithaimia,Cynanche, &c •.••
1 11
6, 4 6
'56
Qrder 3.-;-Dietic Disease~ i.
Atrophy and Debility
Order 4.-Parasitic Diseases:
Phthiriasis
Total, Class I.
CLASS H.-CONSTITUTIONAL DISEASES.
Qr!l~r i.'.:...Diathetic Diseases:
Noma ..... Ergotism, ,&c.
Order 2.-Tubercular Disease§:
Tabes Mesenterica ... Phthisis _.. ...
15 27
23 9
125 24
1 3
4 5
12
7 5'60
5 100' 5 2 13
:~-~i·--I--I-----
Total, Class H., n. ' 1,1 9 5 45'45
CLASS Ill-LoCAL DniEAsEs.
Order I.-Diseases of the' Nervous System': '
Chorea.... . .. Epilepsy:... . .. Convulsions, ... Brain Disease, Otitis, &c.
Order '2.-Diseases of tite Organs tif Circulation: .
Heart Disease
1-----1--1--1--.:..
1 9 1, ,4 1 1
14 34
1 164
Diseases.
-'---~~---------:'--'I-- --.--
CJ.A~S III-LoCAL DISEASES-continued. '
Order 3.-Diseases of the Respi-. rawry System:
LarynRitis Bronchitis ...
Order 4.-Diseases of tlte Digestive , Organs:' , .
Dyspepsia. &c. ProlHpsus Ani.
, Order 7.-Diseases of the Loeomo:' tive System!
N eCI'osis, &c:
4 6
1 3.
7
Dayii
5 6
2' ... 5
I
22
.. !
Order S.-Disea~es of the Integu· mentary System:
Paronychia, &c. ... Ulcers ... .., Eczema and Skin Disease
524120' 7 9 ... • ••
--- --:-------To~al~ Class III.
1221: 14... • ..•
••• ' ,173 16 ,5 2'89
" .. ,
CLASS IV,.-DEVELOPME..'!TAL DISEASES. .
'Order 4.~Diseases of Children:
Various
Total, Cla.ss IV.
CLASS' Y.-VIOLENCE.
Order l.~Accident or Negligence: _. Fractures and Contusions •••. Wounds ..... .
, Burns and Scalds ... .. .
.. Total, Class V.
" Total of all ClasSes
'.
, 7 1'7 ... ...
---1---7 17 .. , ...
1 ,7 I
9
--1-
11 ... ,5 I ... 7 ....
i .. '.
325 IS 17 5'23
Average daily strength o{ establishment .•• Number of cases of sickness per cent, of ditto Number of deaths per cent. of ditto
161 201-S6 10'00
RElYl,A RKS.
Of two cases of diphtheria one died; and of eighteen coses of typhoid fever two terminated fatally. Many of the c1lildren are admitted with some form or other of chronic complaint; there were, for eltample, as :JI;lany as
twenty-tlnee cases of phthiriasis out of the whole number treated.
PATRICK MOLONEY, Medical Officer in Charge.
·11
SUNBURY INDUSTRIAL SCHOOL AND. REFORMATORY.
RETUR~ of Di~eases and Death_s at the Industrial School and Reformatory, Sunbury, during the Year 1874.
Diseases. II ~~ i II ~i ~li~ ~~ ~~ .~~
Diseases.
------------1---1--1--1-----------------------
CLASS I.-ZnIOTIO DISEASES. IDays. Dar-'-I
Order I.-Miasmatic Diseases: Boil and Carbuncle' ... Catarrh and Cynanche Conjunctivitis ... Croup,... • .. Fever and Febricula Whooping-cough ... Measles .•. RUbeola Notha (Rotheln) Rheumatism •.•
Order 2.-EntMtic Diseases:' Syphilis (inherited) .•.
Order 4_-Para.itic Diseases: Scahies ..• • •• Phthiriasis •••
Total, Class I.
CLASS n.-CONSTITUTIONAL DISEASES.
Order I.-Diathetic Diseases: Tumor ...
Order 2.-Tubercular Diseases: Abscess •.•
12 27 46
1 6
13 1 6 4
12 10 19 29 30 24 16
3 16
60
8 5 ... . .. 8 6 ... • ••
---!-I-]33 16 ... • .. ----1-
2 13
9 16·... • .• 1 182 .•. . .. 1 20 1 100'
Scrofula ,'" ••• Tabes Mesenterica .•• Morbus Cox!e ••• .., 1 119 ... . ••
Total, Class II. ... !~!35i-l l-rn CLASS III.-Loc.u. DISEASES.
Order I.-Nervous System: Convulsions ... .. . Cephalgia... ... .. . Meningitis GTubereular) ... Epilepsy... ... . .. Corneitis, Granular Lids, &c.
O,'der 2.-Circulatory System: Cardiac Affection ... Hmmorrhagic Diathesis
----1-
1 6 1 1
19
4 1
2 11 20 60 60
26 98
1 100'
CLASS III.-LoOAL DISEASEScontinued.
Order 3.-Respiratory System:
Bronchitis Pneumonia
Order 4.-Digestive System:
Gastralgia Prolapsus Ani Hepatic Disease
Order 7.-Locomotive System :
Knee Joint Disease ... Caries .•• . .. Coxalgia ••• . ..
Order S.-Integumentary System:
Chilblains... • .• Eczema, Berpes, &c., &e. Impetigo (of Scalp) Ulcer ... ...
I Tot,al,'Class TIl.
CLASS V.-VIOLENCE.
Order I.-Accident and .tyegligence:
Contusions ••. . •• Drowning (accidental) ... Choking (with Spine Disease) Fracture ..• .•• ... Sunstroke... ••• • •. Sprain •.• ... ... SCllld ... ... • .. Wonnd •.. ... • ..
Total, Class V.
Tota,l of all Classes
1 41 6 18
6 7 1 221 1 171
2 1 2
15 ]0 86 18
46 30 30
22 27 14 26
126 29 1 0'80 --1-1---
9 1 1 3 1 4 2 3
13 1 1
17 6
16 18 14
1 100-1 100'
.-:-!---24 13' 2 S-33
NJ5
A verage daily numerical strength of establishment
N um bel' of cases of sickuess per cent. of ditto
Number of deaths per cent. of ditto
643
54'5l
0'74
REMARKS.
The above cases do not include those treated external to the hospital.
}i'our deaths occurred in the school during 1874. One from accidental drowning while bathing; another from tabes mesenterica; a third from tubercular meningitis; and oue from choking while taking food; in this last case there was a.!110 advanced disease of oue or two of the dorsal vertebl'!e.
The cases of conjunctivitis occurred chiefly towards the eud of the year.
A large number of scalp cases, mostly ringworm, were treated extel'Dal to the hospital and skin disease ward. These are Dot included in the above returns.
A. SHIELDS, M.D.,
Medica.! Officer.
12
GEELONG INDUSTRIAL SCHOOLS.
RETURN of Diseases and-Deaths at the Industrial Schools, Geelong, during the Year 1874.
DlscEISCs.
CLASS I.-ZnwTIO DISI!:ASES.
Order I.-Miasmatic Diseases;
Chicken-pox Measle.s Scarlatina ... Stomatitis •.. Quiusy Croup Erysipelas .•• Catarrh Dysent,cry ... Dial'l'lHlla .•• Fever' Rheumatism Ophthalmia.
Ot'der 4.-Parasitic Diseases:
Thrush Worms P~rrigo and Scabies ...
Total, Cla98 1.
• CLASS H.-CONSTITUTIONAL DISUSES.
Order 2.-Tubercular Diseases:
Phthisis Abscess
Total, Class II.
CLASS IH.-LoOAL DISEASES.
'Order I.-Diseases of the Nervous System:
Chorea
Order 2.-Diseases qf Circulation:
Heart Disease
6 37
I 17 16 4 2
24 1
12 77
7 47
1 2
145
399 ---
1 8
9
7 9
13 12 8 5
18 5
27 3 7 9
17
8 4
39
20 --
97 8
13
15
1 865
\
2
-- ---5 1'25
-- ----
Diseases.
------_._--_ .....
CLASS Ill.-LooAL DrsEAsEScontinued.
Order 4.-Diseases of Digestion:
Colic Dyspepsia ...
Order 7.-Diseases of Locomotion:
Caries (Teeth) Necrosis
Order 8.-Diseases of Integuments:
Otitis Ulcer
Total, Olass III.
OLASS IV.-nEVELOP~IENTAL DISEASES.
Order 2.-Diseascs of Adults:
Paramenia ...
Order 4.-Diseases of Nutrition:
Debility
Total, Class IV.
CU.S8 V.-VWI,ENOE.
Order I.-Accident:
Oontusions ... \Vounds Burns and Scalds
Total, Class V.
Total of all Classes
Average daily numerical strength of establishment
Oases of sickness pCl' cent. of ditto
Deaths per cent. of ditto
REMARKS.
10 2 18 2
9 1 2 865
15 25 11 21
62 28 -----
3 7
17 42
20 37
7 22
9
4 6
12
38 7
-- -----
--1'--1-528 20 91 1'70
165 320,
5'45
A considerable increase on last year's sickness is shown in my retmn for 1874. During the first half of the year there was, if anything. rather less than the usual aVHage; Imt ahout . .July, on the breaking up of the Melbourne Barrack School, the children, both sick and well, were sent here. This at OIlce neady doubled l.he already exi>ting amoullt of illness.
Independently of this, howe\-er. and prohably from atmosphcric causes, all complaints, from July to December. became more frequent. lIlore aggmvated, and lcs~ oiwdicnt to trcatillent, until in the latter month a "ilulent epidemic of measles broke out through thi~ district_ 'I'he chi dren in the school did not ':8eape a yisitHtion; it spread with singul"r lapidity thl'Ough them, an<l the fi"rce heat of the w,,,,(l1er told wit,h destructive effect on children under three years of age when becoming convalescent. The mortality in the tOWl! of G~clong WIIS also very great.
J have but little slI1'gery to record. With the exception of a case of tl'llcheotomy, Ilnd a few opera.tion8 on the eye, nothing worthy of notice occurred in 1874.
CHAS. T. MACKIN.
13
BALLA.RAT INDUSTRIAL SCHOOLS
RETURN of Diseases and Deaths at the Industrial Schools, Ballarat, during the Year 1874.
I ~
JI 0 'S ->..0 !l . .., 5~ 91 " ~~ .0
8 Diseases. "j!! ::s "8 DlscllScs. "'~ 1><8 ~1l 1l~
3~ S-;) .... 0 "0 0," 0<> A'a 80 ,...A
Days.
CLASS I.-ZYMOTIC DiSEASES. CLASS m.-LoOAL DiSEASES-continued •
Order l.-M iasmatic Diseases: . Scarlatina ... ... 15 12
Order 4.-Diseases of tlte D,igestive ." . .. ." f:3ystem : Diphtheria ... ... 1 10 ... ... Quinsy ... ... '" 5 (I ., . ... Peritonitis ... ... Fever (Infantile, Gastric) ... 16 8 1 6'25 .Jaundice ... ... . .. Boil ... .., ... 12 5 .., ...
I Diarrhcea ... ... ... 1 4 ... ... Order 7.-Diseases of the Joints: RheumHtism ... ... 2 (I . .. ... Arthritis ... ... . ..
Necrosis ... ... . .. Order 4.-Parasitic Diseases:
Scabies 19 (I Order 8.-Diseases of tlte Integu-... ... ... .. . '" mentary System:
Impetigo ... ... ... 27 12 ... .. . Porrigo ... . .. ... 2 10 ... ... Whitlow ... ... .. .
--- Ulcer ... ... . .. Total, Cl~ss I. ' 100 9 1 l'
Eczeman ... ... ... Ecthyma ... ... . .. Erythema ... ... ... Phthiriasis ... . ..
CLASS II.-CONS'rITU'rIONAL Urticaria ... ... . .. DISEASBS. Chilblain ... ... ...
Order 2.-Tubercular Diseases: Total, Class Ill. ... Phthisis 2 26 2 100' ... ... 2 162 Abscess (chronic) ... ... ... ... --- ---
4 94 2 50' CLASS IV.-DEVELOPMENTAL
Total, Class n. ... -i-
DISEASES. -----
Order 4.-Diseases of Nutrition:
CLASS III.-LoCAL DISEASES. Debility ... . .. ... Order I.-Diseases of the Nervous
System:
Tot.al, Class IV. ...
Conjunctivitis ... ... 25 10 .. . ... Ophthalmia (Oatarrhal) ... 38 14 ... '" CLASS V.-VIOLENCE. Corneitis ... ... ... 5 195 ... ... Otorrhcea ... ... ... 6 45 ... ... Order] .-Accident or Negligence: Ozcena ... ... ... 1 32 ... . .. Contusions Chorea 2 71 ... .. , ... ... ... ... ... Sprains Paralysis 3 45 ... ... ... ... ... .. . ... ... Wounds ... ... . .. . Scalds . .. ... . ..
Order S.-Diseases of the Rcspira-tory Organs : Total, Class V. ...
Bronchitis ... ... ... 2 7 ... .. , Pneumonia ... ... I 80 ... ... Total of all Classes ...
Average daily numerical strength of establishment Number of cases of sickness per cent. of ditto Number of deaths per cent. of ditto
REMARKS.
The health of the children generally continues to be excellent.
•
'S ,g 'S +i-d"
~~ "" f!'" !l C:Si ,,0 .0
13'" A.g S !;E; "j!! " .,,, "' .. :Z;8 ,,>" Zal ~31
'aID ,,~
3~ :9 .. ..,0 _ .. ~g "'0
0" 0<1 A'S 80 <l:;z E-<A ----I-DayS"
: 1 16 1 100' 2 15 ... . ..
3 7 ... .. . ] 45 '" . ..
1 7 ... .. . 1 6 ... . ..
11 15 ... .,. 1 32 ... '" 1 6 . .. ... 2 22 ... . .. 4 5 . .. . ..
10 7 . .. ... I-I-----
121 24 1 0'83 ---------
~I~ -=-I~ ---1-'-.--
3 3 4 3
1-13
1-
241
173
139'30 2'31
7 9 8 9
8
18
'" ... . .. ... ... , .. ... ... ... ... 4 1'66
'fhe amount of sickness has been about the same as during the preceding year. There were twenty-three eases of catarrhal ophthalmia, as compared to only one in 1873. This disease occurred chiefly amongst the boys Bont here from another school; its extension was prevented by the usual precautions being adopted. There were fifteen cases of scarlatina, all of which recovered perfectly.
There were four deaths. One from 'peritonitis, of a half·cast girl who came from the District Hospital with ulceration of the bowels, consequent upon a long attack of typhoid fever.
One, an infant, from infantile gastric fever, who, on admission from another school, was in an extremely emaciated condition, and suffering from dysenteric diarrhcea.
Two from phthisis; one or whom, a girl, was attacked with pleum·pneumonia eight months before her death, and being of a highly strumous diathesis, tubercular disease of thc lungs, with large vomiclll, supervened.
The other case was that of II Chinese half-caste girl, who, on admission, was suffering from tuberculal' disease of both lungs, with vomicro, and was extremely emaciated; she died one month after admission,
RICHARD BUNCE,
Medical Officer.
GEELONG 'GAOL:
'RETURN of'Diseases and , Deaths at the Heelong Gaol during the Yeal'1874:
Diseases. , I !.,,, ~: -
.1
'":''' I CLASS I.-ZnroTIC DISEASES.' 1
Order I.-Miasmatic Diseases: Scarlatina ••• 1
Quinsy , ... Ery~i pelas .•• Catarrh ... Dysentery . Diarrhooa ... !
'."'J
Fever (simple continued) Rhenmatism Opllthalmia Mumps
Order 2.-Enthetic.Diseases:
,Syphilis ,;. ! Gonorrhooa
Order 3.'-Dietic Diseases :".
Delirium Tremens ... Alcoholisui
Days.
"2' i 8 14 7 4 10
50 6 6 12
58 5 3 15
88 22 5 15 7 7
9 76 2 14
18 14 25 ?
.. , T'tal 'C'I I'" -291 -1'4" = !" ():, !J,SB •
• '. I • ._t~~-----• :. -_. ·~l .... ~ ,
CLAss n,-CONSTITUTIONAL DISEASES.
'Order 1. -Diathetic Diseases:' '/ :'J .. ,
Diseases.
CLASS IIL-LoOAL DISEASES-continued.
Order 4.-Diseases 0/ Digestion:
Hernia l Colic Dyspepsia •.. 123 Hremorrhoids ; 17 Jaumjice ... 5
Order 5.-Diseases of tlie Urinary Organs:
Hmmaturia 1 Dysurili. .... , 16 Dropsy 3
Order 6.-Diseases of Generation:
Orchitis ... Order7.-Diseases of Loconlotion:
Caries ,3 I
Order 8.-Diseases of Integuments:
Whitlow ... Ulcer ... : .-Skin Disease
Total, Class III. 314
. '. ~ .
12 ... 5
10 . ..
~65 2
71
56
21
Tumor -----
Order 2.-Tubcrcula'1' Diseases:
Phthisis Abscess ~ ---
Tota!; 'cfaSii;n. I
CLAS~ III.-LOCAL DISEASES.
Order I.-Diseases of the Ner1)()Us
2 102 21 10
25 ]8
CLASS IV.-DEVELOPMEN~'AL :QlSEASES,
Order I.-Diseases of Children:
Teething ". :
Order 2 . .:....P.isea~e~ <if Adults. .. Paramenia' Childbirth
6 14
:'.'
16 '15 1 21'
System: .
Par!\lysis Insanity 1.. 1 ,
Epilepsy, .... Convulsions - I.
Neuralgi~ ;;. " .
8 56 10 14 7 37' 1 3
'1 '3
Order 4.-Disease.~ of Nutrition:
Debility •• " ...
'1' otal, Class IV.
CLASS V.-VIOLENCE:
108 961 1 0'92
.... ,125 I 8,5, '1-1 ,O'8(t . . . . -1---
Order 2.-Disea~e~ of Circulation: Order 1,-Accid~nt : Aneurism ••• Heart Disease
2 l?~ JJontusions and Sprains. _, • Wounds... ..' 7
Order 3.-Diseases ojRespiration: Bronchitis... ' '. .. ... 37 14'
T6t'ai; Class y,."
Epistaxis ... • ... 1 2 Total of all Classes
Average daily numerical strength.of,establishment,·. "-••• Cases of sickuess pel' cent. of ditto Deaths per cent. of ditto
• '" 'f :'" "CO •
f! '.' I':~ I : ' JI .::
99
801'01 1'01
1 ... I' .
0'12
t~ .' ~\lt!..". : .. !" .... ,j ;' ',.".. REMARKS." I: I t\,' :.~: '. 'tIt>, ~":
":' ':'~he g:o{ f~~~~used;1l.Il : 'sarto!' invalid 'hospiial"for 'sick andinfil:m prisoners. ' The 'humber' of case~, ~th~refo'ie; lxith surgical and medi.cal, whi.ch I had under my charge was greatly increased during tl,l.e .past year, ",' '. ::"
, i., :rrhere' were 793 cases of'allkinds';'the diiieail8s'behig varied a.well asnl!merogs, ) have, how~ve" b~eh pret'ty fo.rtunat,·, in losing but one patient, an aged, broken-down man, who Bunk under' a complication' of 'disofders. U • ' ., '. ,
1 'VManyo[;the' diseases' were of 'the' cnrOliic' ;kind...t!some· of them' very'trOlib!eso\rc..!::as" 'fpl' i~si~ii~e;,Jinternal: an~urj~m~,. heart disease, lupus, ulcers, asthma, and consumption, various complaints of the 'bladder atid,fkiuncys,c:and sever~l of eltceesivc' nervou's.uebility, the' result of 'depraved habits. "J' _ •• ,;1'" I. '; . '. ," ",.', , . ",.1.1 I , " ,''(
Paralysis. also, either pa,ltial o'r~general.·'is'veiy frequent. "If'seems' to be a e,QJl1mon' gise.ase :aluo~g'st',prisoner8 in advancedlifEf;'i!L .,f!;,I.I,1;I,.:.:< :","1'1'8 "",\',f'l .•.• {.! ~I .1' :., 'j r. ' ',,, !' . """,TI .. ,,;'f.ll' r~
Scheming is usual, amongst all these rbilu. wh~ either' feign ~ymptom; illconsiste~i'\vii,h the' malad'ies from which they , really suffer; or'elseJeiaggeiate their pllins and aches, always witll the view of ohtaining more medical comforts,
"f:l~ J ,.:, :;"1 ~ • '
elIAS. T. MACKIN.
15
. i CASTLEMAINE GAOL.
, I
RETURN of Diseases and Deaths at the Castlemaine Gaol during the Year 1874 •
CLASS I.-ZYMOi'IO DISEASES.
Order I.-Miasmatic Diseases;
Quinsy... ••• .. . Typhoid Fever... .. . Erysipelas.~. '... .. . Boils and Carbuncle ... Influenza and' Catarrh ... Dysent,ery ... . .. Diarrhma .•• ... ... Chronic Rheumatism and Lum-
bago ...... "'" Mumps... ... • ..
Order 2.-Enthetic Diseases';
I:;yphilis ... Gonorrhcea ...
Order 3.-Dietic Diseases:
Delirium Tremens ... Opiaticm ...
Order 4.-Pamsitic Diseases:
Worms
Total, Class I. .
5 7 4- 6 2 8 7 10
25 7 6 .. 8·
23 7
1
8~ I ~' :::
.3 21 2 10
1 5 2 5
50-
4 ~.... .. ..
• CLASS IlL-LOCAL DISEASEScontinued.
Order 4-.-'-Diseases of the Digestive Organs:
Colic ... Piles ••• Hernia ... Dyspepsia ..• Hepatitis ... Liver Disease
Order 5.-Diseases of the Urinary Organs;
·Bright's Disease Cystitis ••• Kidney Disease
Order 7.-Diseases of the Locomotive System·,
.. Periostitis •••
Order 8.-Diseases of the Integu.mentary S!I~tem. :
Bunions .. . Ulcers .. . Skin Disease
Total, Class HI.
2 1 2
10 1 1
1 1 2
5
12 8
1:3 15 10
4
·2 5 9
16
2 17 4 9 5 9
90 12
1--'-1- 1-121. 8·.,1 0'83 I---l~
1-----1 __ -
CLASS II.-CONS1'ITUi'IONAL DISEASES.
Order 2.-Tubercul~r Diseases:
'Phthisis... • •• . A bsce's's ... • ••
Total, Class II.
CLASS IlL-LOCAL DISEASES.
'1 Ii
6 8
1--,---6 8'... ...
,---------
. I CI,ASS IV.-DEVELOP~tENTAL
DISEASES.
Order I.-Diseases of Cltildren :
- Malformation
Order 2.-Developmental Diseases oj AdultS:
Paramenia I Childbirth ...
Order 4.-Diseases of Nutrition: ..
2
2 4
4
29 9
·Debility ... ." ... 7 6 1 14'28 Order 1.,Diseases of the Nervous
System; 1-----
Total, Class IV. ... 15 10 1 6'66
Paralysis .•• . •• Epilepsy .. . Convulsions ... .
1 2 1
1~ I ::: CLASS V.-VIOLENCE.
Neuralgia and Otorrhcea 18 4. 8 Order I.-Accident or Negligence:
Order' 2.-Di~easell of the oj Circulation:
Disease of the Heart Palpitation '
O~gans
Order 3.-Diseases of the Respiratory System:
Bronchitis Pleurisy ...
10, 21 2 22
17 2
11 4- .~.-
Fractures and Contusions Wounds ••• • .. Scald '" .. ,
Order 5.-Suicide :
Hanging ...
Total, Class V.
..... -. - Total of all Classes
Average daily numerical strength of establishment Number of cases of sickness per cent. of ditto ••• Number of deaths per cent. of ditto" : ..
.<
REMARKS .
88 292-04
2'27
17 6 1
1
25
257
10 12
9
4
10
9 2 0'77
. , The case of erysipelas that died was caused by opening an abscess of the hand at a time when that complaint was rife in this district. ' •
. Three out of the four c~ses of parturition songht the shelter of the gaol through the police court during that anxious period. I think the benches should be instructed not to dispose of these cases in this mauner when there is a local hospital where they can be relieved.
THOS. McGRATH. M.D., Gaol Surgeon.
16
BALLARAT GAOL.
RETURN of Diseases and Deaths at the Ballarat Gaol during the Year 11:)74.
I '0 .,; '0 '0
i] a::i ,.. ... . ~o " ~£ ,Q
s" A'!i e e'" Disenses. ,,~ ,," " })iseases. "" Zf=-I ..,'" Z~ Z~
-'" d~ _w
"" ,.,0 g~ "''' , "gj "" o~ ~ 0 0" E-<O ~:;:; E-<A E-<O
Days. t
CLASS·I.-ZYMOTIO DISEASE:8. CLASS IlL-LoCAL DlSEASES-continued.
Order l.-Miasmatic Diseases: Order 4. - Diseases of the Digestive
Quinsy ... ... ... 2 6 . .. . .. Organs: Carbuncle ••• ... '" 1 4 ." ... Enteritis 2 Dysentery 9 5 ... . .. ... ... ... . .. ... Ileus 3 Diarrhrea .•. 5 4 ... '" ... ... ... ... ... Hepatitis 4 Cholera 1 3 ... . .. ... ... ... ... ... . .. Gastritis 1 Erysipelas 1 20 ... ... . .. ... ... ... . .. Dyspepsia ... 3 Rheumatism 7 6 ... ... ... . .. ... ... .
Order 5.-Diseases of the Urinary Order 2.-Enthetic Diseases: Organs,
Syphilis ... ... ... 5 25 ... .. . Kidney Disease '" ... 1 Gonorrhrea '" ... 6 II ... . ..
Order B.-Diseases of the Intega.
Order 3.-Dietic Diseases, mentary System:
Delirium Tremens 7 Ulcer ... ... ... 4 ... "'Ii ... ... Skin Disea,e 4 ... ...
Total, Class I. 8 Total, Class III. ... 87 ... ... . ..
CLASS IV.-DKVELOPMENTAL
CLASS II.-CONSTITUTIONAL DISEASES.
DISEASES. Order 2 -Developmental Diseases
Order 2.-Tubercular Diseases: of Adults:
Paramenia ,
2 Abscess 2 8 ... ... ... ... ... ... .. . I-i- Order 4.-Diseases of Nutrition:
Total, Class II. ... 2 8 ... .. . Debility 3 ... ... . .. -----
I~ "''' "'0 "", A" "" ",,,
"'-... 0
"" >0 ~:;:l --
Days.
24 3 8 4 6
3
20 20
10
10
15
Total, Class IV. ... 5 ! 13 1-
CLASS III.-LocAL DISEASES. I
CLASS V.-VIOLENCE. Order I.-Diseases of the Nervous
System: Order I.-Accident or Negligence:
Epilepsy ... ... '" 2 9 ... . .. Fractures ... ... Brain Diseases ... '" 2 10 ... ... Contusions ...
Sprains ... ... Wounds ... ...
Order S.-Diseases of the Respira-Total, ClaSB V. tory System:
Bronchitis Asthma ... ... ... 9 G ... ... ... ... 2 7 .. . .. ,
Average d~ily 'numerical strength of establishment
N um ber of cases of sickness of ditto
There was no deatll.
REMARKS.
Total of all Classes
... 2
... 1 .. . 3
. .. 3
... 9
... 114
79
144'30
--
21 4
11 10
12
9
'0 .J-d ... .... ,,~
'" o ill '" S ...... "'E-<
" ""~ Z .. "''' -!il ~~ ~~ "0
A'S E-<A -----
... ... ... ... . .. . ..
... ... ... .. ,
.. , ...
... ... . .. .. .
... ...
.. , ...
. .. .. . j----. .. .. . I----
... . .. ... .. . ... .. . ... ...
... . ..
... .. ,
The only subject for remark is that there was a considerably less amount of sickness during this year than in 1873.
RICHARD BUNCE,
Surgeon of the Gao~.
17
BEECHWORTH GAOL.
RETURN ,of ,Diseases and Deaths at, the ,Beechworth Gaol during the Year 1874.
'S
11
'Cl ~~ os ~ ~d
o~ e~ Diseo.;;es. h ~F:; Diseases. "e
,sID "''"' -'" ,,8 "'" A'S o~ E-Q
1-
Days.
CLASS I.-ZY1IIO'rIC DISEASES ... CLASS Ill.-LoCAL DISEASES-continued.
Order I.-Miasmatic Diseases: .
Order 4.-Diseases of the Digestive Typhus ... ... . .. 3 7 ... .. . Organs: Metria ... ... ... S 35 .. . ... Ulceration of Intestines 2 Carbuncle and Boil 2 7 ... ... ... . .. Ileus 2 Infiu'eilza 1 7 ... ... . .. ... . .. ... ... Dyspepsia ... 8 Dysentery' 2 12 ... ... ... . .. ... ... Liver Disease (Hydatids) 1 Rheumatism 10 S ... ... ... .. . ... Diarrhcea ... ... ... 2 2 ... .. . Order 5.-Diseases of the Urinary ,
Order 2.-Enthetic Diseases: Organs:
Syphilis NephJitis ... ... . .. 5 ... ... . .. S 24 Gonorrhcea ... ... ... ... 2 18 Order 7.-Diseases of the Loeo-... .. . Order 3.-Dietie Diseases: motive System:
Alcoholism (Intemperance) Periostitis ... '" ... 4 ... ' 1 1 ... .. .. ' Order B.-Diseases of the Integu-Order 4.-Parasitic Diseases: , •
mentary System: Worms ... ... .. , Whitlow 1 ... ... . ..
Total, Class L 1 4 ... ... Ulcer ... ... .. . 1 ... Psoriasis ... ... ... ... 33 12 ... ... --
--- Total, Class III. ... 44
CLASS Il.-CONSTITUTIONAL --DISEASES.
CLASS lV . .:...DEVELOP!lENTAL Order 2.-Tubercular Diseases: DISEASES.
Hremoptysis ... ... Order 4.-Disease.~ of Nutrition: Others, including Abscess, &c. 3 36 ... ... Debility S 2 2 ... ... ... ... ...
Total, Class 11 1-... ---.-- --,--- Total, Class IV. 3 5 22 ... ... ... .---'----,--
CLASS lII.-LoOAL DISEASES, CLASS V.-VIOLENOE.
Order l.-Accident or Negligence: Order I.-Diseases of the Nervous'
Coup-de-solei! '" ... 1 System: Fractures apd Contusions ... 9
Epilepsy ... ... 2 10 '" ... Ophthalmia and Neuralgia ... 7 6 ... . .. Order 4.-Suicide •
Order 3.-Diseases of the Respira- Wound of Throat '" ... 1
tory System: 1'otal, Class V. ... 11 Bronchitis ... ... ... 8 6 ... . .. 1-Pleuritis ... ... ... 2 10 ... .. . Asthma ... ... .... 1 21 . .. . ... Total of ail Classes ... 96
Average daily numerical strengtll of establishment
caSes of sickness per cent. of ditto 33
290'90 Nil. Deaths per cent. ,of ditto
REMARKS.
No epidemic in the gaol during the year.
.; . '" fa ~.g ~~ "'-.. 0
"" "0 <1:;;: --Days.
7 8 7
10
4
10
2 4 .. .
-7
--
12 --
12 --
2 15
S
13
10
15 ~'S .. ~~ ~
" "E-"' .. ~. .. '"
~~ "'''' ~8 0" ~~ E-A -----
'" ... ... . .. ... ... ... ...
... .. .
... ...
.. . ... ... .. .
... .. . -- '--... . .. ----
... ... -----. ... , . .. -----
... ... ... ...
... . ..
... ...
... . ..
A hospital ward is very much required, liS it is impossible to treat any serious Case which may occur with the present'" nsufficient and imperfect accommodation.
No. 20. B
W. A. DOBBYN, M.R.e.S. Engl.,
Medical Officer.
18'
'SANDHURST'miOL;
'R~TuR,*: '6r::D(sea~J~ 'ada"Dei:tthl~ I a'f'thi~ Sdlldb:h~iJFG\loi) datirig:'t1i~ -:r'eat"-rS7'4;:;: . - - ..
t: \ ". I 'D~ses.!;, '
CLASS I.-ZYMOTIC DISEASlis." J. Days, '- ".( '! CLASS III.'-LOCAL DISEASES';""- ,
Oi-der 1~-Miasmatic Diseases: ':,
12 2 3 3 '4' 2
Quinsy i •.. : . ... Carbuncle, Boil, &0. Influenza, Catarrh ... Dysentery ... Diarrhrea ... Rh'eumatism . ,.,
.. ... 24 "3 10, "4 21' 4
I I I I
Order 2,-Enthetic Diseases:
Spyhilis' .. , I j
Gonorrhrna, Stricture '"
Order 3~-Dietic Diseases:' d. ""
Alcoholism-Delirium Tremens . ' " Intemperance only
. Purpura, and Scurvy, '" ,. Opium Smoking- ... - ,,). ...
Order 4~ - Parasitic Diseases: " .
Thrush... '" Wormsj ... i
,. HydatidC;'; .:. Others: , ... ' ...
10 11
11 6 13 "7 2 10 3 4
.1
2 "4 .... 3 2 '" 1 31 ... 0"" 3 ...
, ...
, " ...
....
"
, " ------ ---'---I Total, Class 1.
CLASS II.-CONSTl1'UTIONAr.: ',. ,DISEASES. I
,Order I.-Diathetic Diseases:. ,! I >
.. Dropsy (Anasarca) :.'.
Order 2.-Tuberc'ular Diseases:,
135 5 '" --- -._.
2 18
.{ " .. Scrofula... ... ,", ..... ', S ,Tabes.Mesenterica .. , 1
, Tota.l, Clas~ Ii.' --- -- -,-, -'---
6 8 ... --1-'- --
CLASS III.-LoGAL DISEASES. I
Order l.-Diseuses of' Nervous
continued.,
Order 4~-Diseases of :Digestive : Organs: \ .-
; f . ~ntcri~i8 ,~u Hernia ... Ileus", ,;;. i
ii :' Fis:tu!~ t ;;:.: ~:r ..... i . ,Stomacli i?iseases .. '.
I ,
'Order 5.-Diseases ,I Organs:.' I :
" . Ischuria! ','" 1 .. I I
...
Order 7,-Diseas~s , 1Il0tivr; System:,
of the Loco-
! Joint Disease' Ii I I
1
:Order .. 8.:';'Di~eases of_tile 'InteguIi 1!1;qntary System: :~~, , " --Phlegmon .... -- '-;.'. ,I Ulcer.~ I ,_.
.,
Skin Diseases ...
Total, Class III. .
; .. ~
- .--," .' '.",
. ,CLASS IV,-,-DEVELOPMENTAL DISEASES.
!i I ' \ f.
Order 2.-Diseases oifAdults :,1 , ' , 1
, Parame~ia Childbirth
'I I
Ii : Tot~l,:ClasB IV. pi,;
:CLASS y.-VIOLENCE;
,,,
5 1 1 1 7
2
1 6 6
.'9 .. . 4 .. .
"s .. . 7', ... . 2, ..
6
"1'
6 ... .}O-
3'
I', ....
... I
,~,------\,1 .,5 ... • ..
1---1---- ---, i I . i ~.~
'l,.,
4, 4 ... .,"', I 21'
17 .; ..
5 ·,7 '.:. --1---'----
System: . ~ •• I j
Insanity... ... 2 '15 1 4 5 2 6 3
,':Order I.-Accident or Negligence:' . "I I
Epilepsy .. " .J. Neuralgia ••• • .. Brai~ Diseases, &c ....
'Order 2,-Diseases of.Orga~~. of Circulation:
Heart Disease
Order 3.-Diseases of Respiratory Systelll :
Bronchitis ... Lung Disease
i 1
0' ...
2 7 n.
i
Fractures, Contusions, &e. Wounds .ii ._, .. ,
Burns and Scalds .. ,
Order 4.-Suicide;~ I "
• I:; .. . Wound (Cut Throat)
Total, Class V.
Total of all Classes
Average daily numerical strength of establishment Number of cases of sickness per cent. of ditto Number of deaths per cent. of ditto
REMARKS. Totals and averages nearly similar to last year. NO.deaths. .
3 1 2
7 13 ... 17
1 21 I ...
7 12! ...
204
83 245'78
Q.
fj '''\ ...
Th~ two cases of-inaanity were transferred to the lunatic asylum. JOHN CRUIKSHANK, M.D.
19
BATTERY OF GARRISON ARTILLERY.
RETURN of Diseases and Deaths in the Battery of Garrison Artillery during the Year 1874.
Diseases.
CLASS L-Z'fMO'MO DISEASES.
'Order I.-Miasmatic Di~eases :
Measles Diphtheria Quinsy Boils Influenza and Catarrh Dysentery Diarrbrea ••• Remittent Fever Rheumatism Others
Order 2.-Enthetic Diseases:
Syphilis ... Gonorrhrea
Total, Class I.
CLASS 1I.-CONS1'lTU'l'IONAL DISEASES.
Order l.-Diathetic Diseases;
Gout
{}rder 2.-Tubercular Diseases:
Abscess, &c.
'l'obll, Class II.
CLASS IlL-LOCAL DISEASES.
Order l.-Diseases of the Nervous System:
Debility and others .•••
"5 1;,l>d .0'" §~ :Z; ..
:s:n ~~ ---
12 2 1 1
11 2
22 5
10 10
6 5
---93
2
3
12
0:: ~.o 0 'll ;;: ".::l
~~ o~ A <:3 lor:-< ~.d "' .. m<>
"" ~,U ~al "0 <i<l ~'E; --
Days.
12 20
6 3 5 4 5 4 5 7
32 41 -------
11 ... 1
---- ---
3
6
5
9
Average daily strength of battery
:
N umber of cases of sickness per cent. of ditto
Number of deaths per cent. of ditto
Diseases.
CLASS I1l-LoOAL DISEASEScontinued.
Order 3.-Diseases of the Respira-tory System:
Bronchitis .•• Congestion of Lungs Asthma Influenza, &c.
Order 4.-Discases oj the Digestive Organs:
Dyspepsia, &c. Liver Complaiut ' Spleen Discase
Order S.-Diseases 'if the Integu-mentary System:
Phlegmon and Whitlow Ulcer Skin Diseases
Total. Class HI.
CLASS V.-VIOLENOE.
"it.
Order I.-Accident or Negligence:
Fractures and Contusions Wounds and Cuts ... Drowning (partial) .•. Bruises and Sprains
Order 4.-Suicide :
Fracture of Skull
, Total, Class V.
Total of all Classes
24 8 3 6 1 2
20 4:
23 5 3 6 1 3
5 11 7 5 4 7
103 5
5 21 1
is
44
5 3 1 2
3
243 7
139
174'81
0'71
1 100'
1
1 0'41
~ATRICK MOLONEY,
Medical Officer.
By Authority: GEORGE SKINNEll, Acting Government Printer, Melbourne.