chief medical officer - parliament of victoria · 1868. victoria. chief medical officer .. return....
TRANSCRIPT
1868.
VICTORIA.
CHIEF MEDICAL OFFICER ..
RETURN. OF DISEASES
IN THE
VARIOUS ESTABLISHMENTS UNDER THE CHARGE OF THE .
CHIEF MEDICAL OFFICER,
FOR THE YEAR.
1 8 6 7.
PRESENTED TO BOTH HOUSES OF PARLIAMENT BY HIS EXCELLENCY'S COM~IAND.
1111 !(lntboritll: JOHN FERRES, GOTERN:llENT PRINTEH, )lELBOURNE.
No. 35. ·
Cost of preparation-Nil. Printing, (175 copies)
APPROXIMATE COST OF PAPER.
TOTAL ••
AMOUNT,
£ s. d.
25 0 0 -1-1-
25 0 0
-RETURN. OF- DISEASESo
·IMMIGRATION HOSPITAL, MELBOURNE.
RETURN qf DISEASES for the Year 1867.
Total Average Total Deaths Number of per Cent. of
' DISEASES. Cases Duration of Nnmberof cases treated. each Case. Deaths. of Sic:tmess.
'
CLASS I . .:.....:zYMOTIC DISEASES:-Dn;i-s.
Order I.-Miasmatic Diseases:-Cynanche . . .. ... ... . .. 4 30 .. . .. . Measles ... ... ... .. . . .. ... 10 16 1 10•0 Scarlatina ... ... . .. ... ... 13 24 2 15•38 Whooping-c()ugh ... · ... 25 79
; 1 4'0 ... ... ...
Fever (Continued and Typhoid) f ~,. ... ... ' 9 25 ... ... Influen·za , .. . · ... ... ... ... 1 4 .. . ... Boil ... ... ... ... .. . . .. 1 2 ... . .. Dysentery ... ... ... ... ... 2 18 . .. ... Diarrhrea ... ... ... ... .. . 6 27 1 6•666 Rheumatism ... . .. ... ... ... 10 20 .. . ' Ophthalmia ... ... .. . ... ... 11 76 ... . ..
Order 3.-.Dietic .Diseases:-
Scurvy (Sea} ... ... ... ... .. . 1 15 ... . .. Order 4.-Parasitic .Diseases:- I
Scabies ... ... ' ... ... . .. 1 21 .. . ... ____ : ____ Total, Class I. .. . ... ... 94 43 5 5•32
CLASS H.-CONSTITUTIONAL DISEASES:-
Order !.-Diathetic Diseases:- I
Gout ... ... .. . ... .. . 1 11 ... .. . Tumor \ ... 2 59 ... ... ... ... ... . .. Cancrum Oris ... ... ... . .. .. . 6' 18 5 83•33
: Noma ... ... ... ... I
. ... . .. ], 18 . .. . .. ----·----
Total, Class II. · ... ... 10 26 5 50•0 -----
CLASS III.-LOCA:t:. DISEASES•:-·
Order '!.-Diseases qf tlte Nervous System:-Otitis \' "· I '1 30
.. ... ... ... . .. ... .. . .. . ... Mania ... ... ... ... .. . 1 56 ... .. . Convulsions ... ... . .. ... . .. 1 2 ... .. . Chorea ... ... ... . .. ... 1 58 . .. ... Hysteria .. , ... ... ... ... 1 23 .. . ... Epilepsy ... ... ;•• .. . ... 1 29 ... ... .
Order 3.-Diseases qf the Respiratory Organs:-Bronchitis ... ... ... .. . .. . 2 17 . .. . .. Asthma ... ... ... .. . ... 1 11 ... ...
Order 4.-Diseases of tlte Digestive Organs:-
Prolapsus Recti ... ... ... ... ... 2 26 ... . .. Dyspepsia ... ... ... . .. . .. 11 20 ... ... Peritonitis ... ... ... .. . ... 2 8 1 50•0 Hernia ... . .. ... ... ... ... 1 2 . .. . .. Colic ... ... ... ... ... .. . 3 9 . .. . ..
4
bmiGRATION HoSPITAL, MELBOURNE-Return of DiSeases-continued.
DISEASES.'
. CLASs IlL-LoCAL DISEASES-continued.
Order 7.-Diseases of the Joints:-
Necrosis ... ... . .. ... Order 8;-Di~eases of the Integumentary System :--:-
Eczema. ... ... ... . .. . .. ·Phlegmon ... ... ... Psoriasis ... ... . .. . .. Ulcers ... ... . .. ... Urticaria ... ... ... ...
. Total, Class III. ...
CLASS IV.-DEVELOPMENTAL DISEASES:-
Order 2.-Developmental Diseases of ..t1dults :-·
Parturition and others ... ... ... Amenorrhrea· ... ... ... . .. Debility ... ... ... ...
Total, Class IV. ... '
CLASS V.-VIOLENCE:-
Order 1.-J!ccidimt or Negligence:-
Sprain ... ... ... ... ' ... ..
Total, Class V. ...
Total of all Classes ... ...
Average daily numericals~rength of establishment Number of cases of sickness per cent. of ditto Number of deaths per cent. of ditto
. ..
... ... ...
...
. ..
. ..
. ..
...
.. .
...
...
...
.. .
REMARKS.:
Total Average Number of Duration of Cases each Case. treated.
Days.
2 233
1 19 2 • J 11 2 20 3 8 1 4
39 29
11 17 ] 3 2 9
----- -----14 15
' 2 10
. 2 10 -----·-----
159
I 35
Total Number of
Deaths.
...
... .. . . ..
. .. .. . 1
...
. .. ...
. ..
.. .
... -----
11
. 27 588 40·74
Deaths per Cent. of
Cases of Sickness •
. ..
. ..
... ...
. ..
. .. 2•56
.. .
.. . .. .
...
. ..
. .. -----
6•92
The immigrants who arrived in the colony during 1867 were generally healthy, and, with the exception of a few cases of typhoid fever which were landed from the ship Canterbury in December, their illness presented·no very unusual features.
The cases from the Canterbu·ry were immediately removed to this hospital, and were under treatment at the end of the year. There were only two deaths amongst the immigrants, and these were very young children, one from peritonitis, the other from diarrhrea. .
There was a· considerable number of children from Princes Bridge and' Sunbury Industrial Schools admitted. into the insti£ution during 1867, suffering from scarlatina, measles, whooping-cough, ophthalmia, and cancrum oris. This course was adopted in the overcrowded state of these institutions, to isol.ate those children from other children o( the schools, and thus check the spread of contagious diseases. . . · . There were nine deaths in this hospital amongst the children of the Industrial Schools-one from measles,
one from whooping-cough, two from scarlatina, and five from that intractable and fatal disease, cancrum oris ; these deaths occurred in children of weak and delicate' constitutions. .
I cannot conclude these remarks without refernng to the great advantage the Industrial Schools derive from having the Immigration Hospital as a receptacle for many cases that cannot be treated beneficially in those estab" Jishments.
T. F. McGAURAN, · Resident Medical Officer.
5
MELBOURNE GAOL.
RETURN of DISEASES and DEATHS for the Year 1867. c
Total
I Average Total Deaths Number of per Cent. of DISEASES. Cases Duration of Number of Cases
treated. each Case. Deaths. of Sickness.
·-·-~·-·
CLASS I.-ZYMOTIC DISEASES:- Days.
Order 1.-Miasmatic Diseases :- · Measles ... ... ... ... ... ... 1 2 ... . .. Cynanche ... ... ... ... ... 18 11 . .. ... Erysipelas ... ... ... . .. ... 2 16 ... ... Carbuncle ... ... ... ... ... 21 7 ... ... Influenza, &c. ... . .. ... ... ... 28 4 ... .. . Dysentery ... ... ... ... ... 10 4 ... . .. DiarrhaJa ... ... .. . ... .. . . 65 6 3 4•61 Ague ... ... .. . ... ... ... 3 5 ... . .. Rheumatism ... ... ... .. . .... 49 5 ... .. .
Order 2.-Entketic Diseases:-
Syphilis ... ... . .. ... .. . 26 ·20 ... • . .. GonorrhaJa ... ... ... ... . .. 57' 11 ... ...
Order' 3.-Dietic Diseases.-Delirium tremens ... ... ... .. . 205 4 2 0•97 Intemperance ... ... ... ... .. . 137 2 ... ...
' Order 4.-Parasitic Diseases:-
Thrush ... ... ... ... .. . 2 4 ... ... Worms::: ... ... ... ... .. . 7 6 ... ... . Scabies ... 307 3 ... . .. ... ... . .. ... .. . ----
Total, Class I. ... ... . .. 938 5 5 I
0•53 '
CLASS II.-CONSTITUTIONAL DISEASES:-
Order 1.-Diathetic Diseases:- I
Gout ... ... ... ... ... ... 2 1 ... , .. Order 2.-Tubercular Diseases:-
Scrofula ... ... ... .. . ... 2 3 ... ... Rremoptysis ... ... ... . .. ... 1 4 ... . .. Abscess, &c. ... ... ... . .. . .. 13 10 ... . ..
Total, Class IL ... . .. 18 8 ... . .. CL~SS Ill.-LOCAL DISEASES:-
I Order 1.-Di~eases qf tke N~ous S!Jstem :-Meningitis ... ... .. . ... . .. 2 14 1 50•0 Apoplexy ... ... ... . .. .. . 9 12 8 88·8 Insanity ... ... ... ... . .. .. . 135 44 ... ... Paralysis ... ... ' ~. ... . .. 1 1 1 100'0 Epilepsy ... ... ... ... .. . 22 9 1 4•54 Neuralgia ... ... ... ... ... 13 10 ... .. . Convulsions ... ... ... ... ... 1 9 . .. ... Otitis ... ... ... ... ... . .. 11 9 . .. .. . Ophthalmia ... ... ... ... ... 58 11 .. . ... Softening of the Brain ... ... . .. . .. 1 7 1 100·0
Order 2.-Diseases of Organs qf Circulation:-' Hcemorrhage 1 12 ... ... ... ... ... . .. . .. Order 3.-Diseases qftke Respiratory; Organs:-
Laryngitis ... ... . .. . .. ... 1 1 ... . .. Bromlhitis ... ... ... .. . ... 58 6 1 1•72 Pneumonia ... ... . .. ... .. . 3 21 ... .. . Asthma .•• ... . .. ... ... .. . 6 3 ... . ..
'Order 4.-Diseases oftke Digestive Organs:-Enteritis ... ... ... ... . .. 10 5 . .. . .. Hernia ... ... ... ... ... ... 8 4 . .. . .. Ileus ... ... . .. ... .. . . .. 37 3 ... .. . Fistula ' . .. 2 15 Stomach.IHsease, 'i~cluding.Dyspep~J;., Pyro;i;, &c.
... ... ... 168 4 . .. ~ .. " Hepatitis ... ... ... ... . ... 1 8 ... ...
\,
6
MELBOURNE GAoL-Return of Diseases-continued
DISEASES.
-
CLASS III.-Loc.ai. DisEASEs-continued.
Order· s_ • ....:.;.'JJiseases qf the Urinary Org~ns :-
Enuresis
Order 6.-Diseases of the .Organs qf Generation:
·Orchitis .•. ~
Order 7 ·:---Diseases qf the Locomotive &gstem :-
,Arthritis ... ... ... . ..
Ord~r 8.:_ Diseases qf the Integumentary ~stem :-.
!Eczema... ... ... ..:.. .. . 'Phlegmon, Whitlow, &c. •.. ..~ ·; .. . Psoriasis ... . .. Acne· ... Ulcer _Urticarja Lichen .. . Lepra .. . Herpes ...
.. ...
Total, Class Ill.
CLASS IV.-DEVELOPMENTAL DISEASES:
Order 2.-0f Adults:-
Leucorrhrea . ... . .. ...
Menorrhagia ... ... ... Amenorrhrea ... ...
- - Abscess· on Heart •. ;· ... ... ... . .. Childbirth ' ... ... . .. "
Order 3.-0f Old People :-
Old Age ... • ...
Total, Class I¥.
CLASS V.-VIOLENCE :-
Order 1.-.Ac,cident or Negligence:-
Fractures and Contusions ·Wounds... ... :Burns and Scalds Suffocation (l~natic)· ·· ·· ...
Total, Class V.
l'otal of all Classes
... ...
" ... " ...
...
. .. .. . ..
...
.......
.. ... ... ... ... ...
..
.. ... ... ... ... ... ... ... ... ... ...
... ... •.•• ... . ..
I
...
...
...
...
... ...
...
.. .
1 Average daily numerical strength of establishment Deaths per cent. of ditto .. : . .. .. . .. . Cases of sickness per cent. of ditto . .. . . ..
• J -.I.~
REMARKS. '
Total Number of
Cuses treated.
5
2
10
20 32 13 12 84 6 3 1 1
737
6 4· 2 1 5
2
20
32 28 4 1
65
1,778
Average I Duration of each Case.
_Days.
9
11
6
11 9
14 '11 12 3 7
18 8
14
8 5
"4 11 10
20.
9
7 9 5 1
7
9
, Total Number of
Deatl1s.
...
...
...
...
... ...
...
. ..
. .. 1
. .. 14
... ' . ...
...
. ..
. ..
1
1
.. "
...
...
. .. 1
. 1
21
389 5•39
457'07
Deaths per Cent. of
Cases of Sickness.
. ..
. ..
...
. .. . ..
...
...
... . ..
... 100·0
... ,,.
1•90
... . ..
. ..
...
...
'50'0 '
5"0
. .. . ..
. .. 100•0
'' ., -t • • r ' ~
. "1·54
1•18
The sickness aud mortality ii;~ the Melbourne Gaol during the.yead867'did-not materially ·differ:frori.t those of the previous year. The gaol itself was remarkably healthy, nearly the wl10le of the sickness having yccurred among prisoners suffering from disease on their admission 'into the gaol.' The sick ,list was greatly increased by the admission of a number oflunatics, for whom there was not sufficient. accommodation at the asylum.
Clas~ I.-Zymotic Diseases.'-The most·numerous diseases in tills class were delii:ium"trcmens, intemperance (a less seve're phase of _delirium tremens), and itch. It 1vas often difficult to distinguish between delirium tremens and intemperance ; both res~ted, from the same cause, and were attended. by most of the same symptoms. The principal difference was the delirium, and this was to some extent present at night in the cases of intemperance. Delirium tremens' has always fornied a considerable item in the diseases of the gaol, and great attention has been paid to its treatment; the various modes of treatment recomm_ended by the best authorities in.Europe have been tried in their turn, without any great differen~e in the result: .My·a1,tention 'has bce'n'arre'sted ·by t!Hruii.iform, indeed almost invariable, post mm·tem appearances observed in fatal cases of this disease, and these, coupled with the symptoms indicative ·of the usual cause of the malauy during" life, have compelled me to conClude, in opposition to most writers on the subjept, that the disease essentially' consists in an inflammation of the membranes of the brain, caused by the ·.il;nmoderate use of 'stimulants: This 'view has induced ine to discard the usual mode
·of treatment adopted in ~his disea~e-viz., the use ofsti~~l:mts, nar8<;~ics;_.&c.-·!l.nd to adopt such measures as arc calculated· to reduce tl1e JDflammatwn. . These may be stated· to consist m cleanng out the stomach and bowels, applying cold to the head, keeping the patient as· quiet as· possible,'iisinli an' unstimulating and nutritio~s diet, and, above all, applying a large number of.]eeches.below.·thc.eaFs·repcatedly, If ne~essary. The success of this treat'Qlent
7
is remarkable, the mortality from ,that·diseasiJ)n the .. g1J.t,Jl,.during.the y;ear having been reduced to less than I per cent. When this is compared \vith the mortality among .the troops in Great Britain '(15'7 per cent.), and with that of the army in India (13·7 per cen:t.); for the' same disease, the contrast is striking. The number of eases of itch which were 'admitted to the ,_aol in 1867 were 307, showing an increase of nearly lOO on the previous year; and scarcely a day passes without some case being admitted. The low lodging-houses of Melbourne must be infected very largely by this disease. The cases of diarrhcea and dysentery were somewhat less than during the previous year; the mortality also was greatly diminished, that of 1866 being at the rate of nearly 6 per cent., whilst in 1867 it was only a.bout 4 per cent .. There ·were 49 cases, of rheumatism ; these occurred to prisoners mostly whilst in the gaol, and were very slight, the average duration of the disease being only five days.
Class III.-Local Diseases.-The cases of this class of disease were rather less numerous than in I866, but the mortality was considerably greater. There were 135 cases of the various forms of insanity admitted; of these, 3 died, the deaths being recorded under the heads of paralysis, apoplexy, and suffocation respectively. The case of suffocation was one in which a greedy patient had bolted a large piece of meat, which stuck in the glottis, and though medical aid was procured in a few minutes and the meat removed, the result was fatal. The greatest amount of mortality occurred among the eases of apoplexy-they were all cases of serous al?oplexy, the result of previous disease of the brain, probably caused by drunken habits. The fatal case of mening1tis occurred in a 1pan who had been a Ion&' time in the gaol hospital, frequently subject to convulsions. The cases of epilepsy were numerous, but, with the exception of the fatal case, they were very amenable to treatment. The case of softening of the brain occurred in a man aged 33, but was the result of-disease of long standing. ,The cases of ophthalmia were numerous,
. but not generally of a severe type; they were all cured without leaving any permanent change of structure in the eye. The cases of bronchitis were rather less numerous than during the preceding year; the fatal case occurred in a child which was almost in a dying state OJ;J. its admission to the gaol. The cases of dyspepsia (nine-tenths of which were the result of previous intemperance) were considerably less numerous than during the preceding year, and on the whole less severe. A case of true leprosy occurred which was of some interest; the subject of it was a native of Santa Cruz in the West Indies, who had come to this colony from Adelaide with the hope of getting to his native place. He was a frightful object, having• l9st some of his fingers an<} toes, his face was distorted, and his mouth was contracted. ~o treatment was of any use, and at length he died. . Class IV.-Developmental Diseases.-Oue man died of old age, apparently sinking from natural decay without any symptom of disease. ·
W. McCREA, Chief Medical Officer1
PENTRIDGE STOCKADE.
RETURN of DisEAsEs treated in Hospital during the Year 1867.
Total Average Total Deaths
DISEASES. Number of Duration of Number of per Cent. of Cases each Case. Deaths. Cases
treatlld. of.S!ekueas.
CLASS I.-ZYMOTIC DISEASES:- Days.
Order I.-Miasmatic Diseases:-
Quinsy ... ... ... . .. ... .. . 1 5 ... .. . ' Colonial Fever ... ... ... ... .. . I 15 ... . .. Erysipelas ... ... ... ... .. . 1 6 ... . .. Boil and Carbuncle ... ... ... . .. 8 11 ... ... Influenza ... ... ... . .. . .. 35 5 ... . .. Dysentery ... ... ... .. . . .. I2 6 ... . .. Diarrhcea ... ... ... ... .. . 18 2 ... . .. Rhe'umatism ... ... ... . .. ' ... 43 9 ... .. .
Order 2.-Entkefi.a Diseases:-Syphilis ... ... ... . .. ... ... 7 15 .. . ... Phimosis ... ... ... I I2 ... .. . Paraphimosis .. . ::: ::: ... . .. I 6 . .. ... Gonorrhcea and Stricture of Urethra .. ... ... 5 i I28 ... . ..
Order 3.-Dietia Diseases:-
I Intemperance ... ... ... ... .. . '4 2 ' ... .. .
' Total, Class I. ... ... . .. I37 11 ... .. .
. CLASS H.-CONSTITUTIONAL DISEASES:-
Order I.-Diathetic Diseases:-
illdema ... ... ... ... ... .. . 1 IO ... .. . Tumor ... ... ... ... ... .. . 3 21 ... .. .
Ot:P.er 2.-Tubercular Diseases :7 '
Phthisis ... ... ... . .. ... .. . 3 I20 1 33•3 Hremoptysis ... ... ... ... .. . 7 9 ... . .. Abscess ... ... ... ... . .. . .. 7
' 11 ... .. .
; --------------------Total, Class II. ... . .. 21 27 I 4•76
, . . _.,:,.. ... ·- ....
8
PENTRIDGE STOCKADE-Return ·of Diseases-continued.
DISEASES.
Total ·Number of
Cases treated.
Average Duration of each Case.
Total :Number of
Deaths.
Deaths per Cent. of
Csses of Sickness.
____________ .:.__ ___ ~---------'--1-----1-----1-~--
CLASS ITI.-LOCAL DISEASES:-
Order !.-Diseases of the Nervous System;_ Paralysis ... ... . .. Insanity... ... ... . .. Hypochondriasis . .. .. . . .• Epilepsy ... ... ... Congestion of Brain . .. .. . Ophthalmia ... ... .. . Neuralgia ... ... .. .
Order 2.-Diseases oftke ·Organs of Cir'culation :-Aneurism ... ... ... . .. Heart Disease ... ... . .. = •••
~ Order 3.-p~seases of the Respiratory; System:-Bronchitis .. . · .. . .. . . .. Pleurisy... ... ... ... . .. Congestion of Lungs . .. .. . .. .
Order 4.-;J?isei:lses oftlte JJigestive OrganS:-Gastnhs ... ••• . .. Piles ••• Perforation of Bowels Hernia ... .. . Fistula .. . Hrematemesis Dyspepsia
Order 5.-JJiseases oftke U1'inary Organs:-Cyatitis ... ... ... ... Kidney Diseases (Bright's included)
Order 6.-JJiseases of tke Organs of Generation :-Orchitis... .•. ... ... • ..
Order 7.-Diseases of tlte Joints:-Ost1tis .. . ... .. . Sciatica ... .. . ...
Order B.-Diseases of the Integumentary System:-illcer ... ... ... ... . .• Whitlow Skin Disease
Total, Class TII.
CLASS IV.-DEVELOPMENTAL DJSEASES :-
Order 3.-Diseases ofOU People:-, Old Age ... . ..
Qrder 4.-JJiseases of Nutrit·ion :-Debility ... . ..
Total, Class IV.
CLASS V.-viOLENCE:-
Order 1.-.ticcitient or Negligence:-Fra.ctures ... ... Contusions ... . .. Wounds ... ... Burns and Scalds... .. . Sprains ... ... . .. Other Accidents .. . .. .
Order 4.-Suicide :Suicide attempted
Total, Class V ....
Total of !l.ll Classes
2 8 5 7
22 16 1
2 1
4 1 3·
3 10 .1
1 12 1
77
1 7
4
5 1
3 3 4
.205
Days.1
283 36 5 8
14 22 5
246 8
55 88 5
4 10 1 2
16 7 5
7 27
16
24 4
21 H! 10
18
1 so·o
1
1
1 ·' 100•0
2
6 2'92 i----1---------- ----
1 365
9 19
10 54 -----1·-----'·--·-----
7 15
6 2 7
10
1
30 6 3
12 16 47
1 --------- ----------
... ~-~____::_!! __ ... _1. __ ... _. 421 ·I 18 . I 7 I 1•64 .
Average daily numerical strength of establishment ... Number Qf cases of sickness (in hospital) IJer cent. thereon .. .
902 :46•67
0·77 2,244
Number of deaths per cent. of ditto ditto ... :.. ... Total number of cases of sipkness, external and internal, treated in establishment
'
9
REMARKS.
The number of cases of illness treated in this hospital during the year 1867 was 421. Of these there were' seven deaths-one from J;lhthisis, one from congestion of lungs, one from aneurism of aorta, one from perforation of bowels, one from bronchitis, two from diseased kidneys.
Of fever there was only one case, brought into hospital on the 14th of July. This roan arrived in the stockade on the 18th of June. He was then suffering from the premonitory symptoms of fever.
The stockade was remarkably free from epidemics of any kind. Very few cases of influenza. The number of external ca~es treated was 1,823.
February lOth, 1868. J. REED, M.D., Resident Surgeon.
PENAL HULKS "SACRAMENTO" AND "SUCCESS," AND REFORMATORY SHIP "DEBORAH," HOBSON'S BAY.
RETURN of DisEASEs for the Year 1867.
Total Average Total I
Deaths
DISEASES. Number of Duration of Number of ])er Cent. of
Cases each Case. Deaths. Cases treated. of Sickness.
CLASS I.-ZY1\fOTIC DISEASES
Order I.-Miasmatic Diseases:-Days.
Boils ... ... ... ... ... . .. 7 8 . .. . .. Diarrhrea ... ... ... ... ... 24 6 .. . . .. Catarrh ... ... . .. ... ... . .. 4 10 . .. ... Diphtheria ... ... .. . . .. ... 2 6 1 50•0 Whooping-cough ... ... ... ... .. . 3 22 .. . ... Influenza ... ... ... ... .. . 19 9 ... ... Rheumatism (chronic) ... ... ... .. . 24 10 .. . . .. Dysentery ... ... ... ... ... 6 5 .. . ... Mumps ... ... ... ... ... 5 10 . .. ... Ophthalmia ... ... ... ... . .. 13 14 .. . .. . .
Order 2.-Enthetic Diseases:-
Syphilis ... ... ... ... ... .. . 5 21 . .. ... Gonorrhrea ... ... . .. , ... 2 4 . .. ...
Order 3.-Di~tic Diseases:-'
Delirium Tremens ... ... .. . ... 1 15 . .. ... Order 4.-Parasitic Diseases:-
Worms ... ... . ... . .. . .. . .. 3 7 . .. ... Scabies ... ... ... ... . .. ... 12 14 ... .. . Lepra ... ... ... . .. ... .. . 6 9 ... ...
Total, Class I. ... ... ... 136 8 1 0'73 :
CI,ASS H.-CONSTITUTIONAL DISEASES:-
Order 2.-:-Tubercular Diseases :-Abscess ... ... ... .. . . .. ... 19 7 . .. ... Phthisis ... ... ... ... ... ... 1 3 .. . ... Hrerooptysis ... ... ... ... .. . 6 5 ... ...
· Total, Class II. ... ... 26 6 ... .. . CLASS III.-LOCAL DISEASES:-
Order I.-Diseases of the Nervous Sgstem :-
Ophthalmia ... ... ... ... . .. 23 4 ... .. . Odontalgia ... ... . .. . .. ... 9 2 ... ... Epilepsy ... ... .. . ... .. . 4 20 ... .. . Earache ... ... .. . ... . .. 1 2 . .. . .. Otitis ... ... ... ... .. . ... 3 5 ... ...
Order 2.-Diseases of the Organs of Circulation:- ..
Heart Disease 2 64 . ... ... ... . .. .. . . .. ... ;
No. 35, a.·
0
10
PENAL B;uLrrs AND REFORMATORY SniP~Return of Diseases-continued.
i - Total Deaths· DISEASES. Number of I
Average I ,Totn.l I• per Cent. of
Cuss III.-LoCAL DISEASES-continued.
Order 3.-Diseases qfthe Respiratory Organs:-Pneumonia ... ... . .. ... ... Bronchitis ... . .. ... Malignant Diseas~ ·~f the L~~gs ... ... . .. Lungs, Congestion of ... ... ... . ..
Order 4.-Eiseases of the JJigestive Organs:-Dyspepsia ... ... ... .. . . .. Constipation ... ... ... .. . ... Fistula ... ... ... ~ .. ~ . .. ... Gastritis ... ... ... ... ...
,Order 6.-IJiseases qf the Organs qf Generatio~ :-Orchitis ... ... ... .. . ... ...
Order 8 •. -JJiseases qftke Integwmentary S;;stem :-Eczema ... ... ... ... .. . . .. Urticaria ... ... ... .. . ... Psoriasis ... ... .. . ... ... Ulcers ... ... ... ... . .. Shingles} ... ... ... ... ... Her:ges ••'! ... ... ... ... Chil lains ... . .. ... ... .. . Whitlow ... ... ... ... ...
Totil, Class ID. ... ... CLASS IV.-DEVELOPJ\IENTAL DISEASES:-'
Order 1.-lJevelopmentallJiseases qf Okildrren :~
Premature Birth ... Dentition, Cerebral Effusid~' of
... . .. ... ... ...
Order 2.-IJevelopmental Disease qf LJ.dults :-
Parturition ... ... ... ... Premature Labor ... ... ... ... . ..
Order 4.-IJiseases qf Nutrition:-
Debility ... ... ... ... ... . .. Total; Class IV. ... ...
CLASS V.-VIOLENCE:-· l
Order I.-Accident or Negligence:-
Conttisions ... . .. ... ... ... Wounds (incised) ... ... ... ,' ... Scalds ... . .. ... ... . .. ...
Total, Class V. ... , ... ' Total of all Classes ... ... .. .
Average daily number of prisoners and officers on board Number of cases of sickness per cent. of ditto ... Number of deaths per cent. of ditto
REMARKS.
,Duration of Cases each Case. treated.
Days.
I 2 40 5 I4 I I6 I '15
65 6 23 5 1 I9 1 I5
2 7
1 4 1 I3 2 . 51
15 26 1 21
I4 4 23 I5 1 5
201 9 ! -.,
1 2 .. I 1
4 23 . 1 11
' 5 7
i
12 ll
39 I3 3 17 1 9
I 43 13
418 9 I
i
..
Number of
.
Deaths.
. ..
... I
...
... . .. . .. . ..
...
... .. .
. ..
. .. . ..
...
...
. ..
1
1 I
... .. .
. .. 2
...
.. . . ..
... 4
320 130•62
1•25.
Cases of Sickness.
;
. .. . ..
... ...
. .. . ..
.. . .. .
. ..
. ..
... .. . . .. .. . . ..
...
.. . ' . 0•49
. ..
. ..
.. . . ..
.. . lq•6
-
. .. ...
. ..
1~ ;:~5 -
, The returns again show an increase. in the daily average strength ·of the hulks and reformatory, the numbers being, in 1866, 306; and in 1867, 320.
There has been a corresponding increase in the number of cases· of sickness, viz. :-in 1867, 418; and in 1866,379.
Four deaths have occurred during 1867. One adult female, with malignant disease of the lungs, and three c~ildren ; ca!lse of death being, respectively-diphtheria; dentition, wi~h c_erebral congestion; and premature
· b1rth. In th1s last case the child was born under the seventh month, and hved only twenty-four hours. The average duration of cases has been 9 days, as against 7·75 for 1866. A number of chronic foul ulcers, and one case of obstinate psoriasis, have mainly brought about this result.
On the whole, the health of the prisoners has been satisfactory. AND. PLUl\IMER, M.D., Medical Officer in Charge.
11
INDUSTRIAL SCHOOL, PRINCE'S BRIDGK
RETURN of DISEASES for the Year 1867.
DISEASES.
CLASS I.-zYMOTIC DISEASES:-
Order !.-Miasmatic IJiseases:-
Varicella ... . .. Measles... ... . .. Cynanche .••• , .•. Whooping-cough . . . . .. Fever (continued, low type) Influenza ... ... Dysentery ... . .. Diarrhrea ... • .. Ophth.almia .. . .. . Mumps... ... . .. Rheumatism . . . . ..
Order 2.-Entketi.o Diseases:-Gonorrhrea
Order 4.-Parasitio Diseases:-
Scabies... ... . ..
Total, Class I. ...
CLASS II.-CONSTITUTIONAL DISEASES:-
Order 1.-Diatketio Diseases:-Cancrum Oris
Order 2.-Tuberoular Diseases:-. ' . Abscess ...
Hydrocephalus ... Hremoptysis ,
Total, Class II.
CLASS Ill.-LOCAL DISEASES:-
Order 1.-Diseases iif tke Nervous SJJstem :-Chorea ... ... ... ... Congestion of the Brain . . . . .. Hysteria ... ... ...
Order 3.-Diseases cif tke Respirator!/ S:Jstem :Bronchitis Pleurisy
Order 4.-Diseases cif tke Digestive Organs:-Dyspepsia ... ... • •. Colic ... .. . Jaundice .. . Oongestion of Liver
Order: '1.-Disea;;es cif ~ke Joints:-Necrosis ...
Order B.-Diseases Of tke Integumenta'l'Jj SJjstem :-
Phlegmon ... ... ... . .• Urticaria ••• ... ••• • •• Chilblains .•. Ulcers .. ... Cutaneous Diseases
Total, Class Ill.
Tote.! Number of
Oases treated.
3 90 23 25 11 24 6
18 754 120'
3
1
287
Average Duration of . each Case.
Days.
14 11
6 46 13 4 7 7
20 3
23
28
6
Total Nnmber of
Dentbs.
1
1 5
Deaths per Cent. of
CI1Ses of Sickness.
' 1'111
16•600 27•770
------1-----1----1,365 14 7 0•513
1----1---------
12
19 1' 1
13
8 30 7
5 41'66
1 100•0
1------·1------1--------1-------33 10 6 18•18
1----1-------
1 2 1
7 1
16 3 1 1
2
100 5 2
9 13
2 3
53 14
5
'1 12 1 7
45 28 10 10
304 19
2 100•0
...,.-----------1----------402 18 2 0'495
12
INDUSTRIAL' Scn:ooL, PRINCE's BRIDGE-Return of Diseases-continued.
· Average Total Deaths DISEASES. of Duration of Number of pcl' Cent. Qf
each Case. Deaths Cases of Sickness.
CLASS IV.-DEVELOPMENTAL DISEASES:- \ . Order 2.-Develop_mental Diseases of Adults:-
Days.
Leucorrhma ... . .. . .. . .. ... 1 10 . .. Order 4.-Divelopmental Diseases of Nutrition:-
. . Debility .. o ... ... ... . ... .. . 24 12 1 4•10 Marasmus ... . .. . .. . .. . .. 10 32 10 100•0
' ·---------Total, Class IV. ... ... . 35 . . 17 11 31•43
----------CLASS V.-VIOLENCE:-
--~--
.
.. .
Order 1.-A.ccirlents or Negligence:-
' I
' i
Burns and Scalds ... ... ... . .. . .. Sprains ... , ... ... ... ... . .. Wounds ... ... ... ... ... . ..
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.
3 13 1 3 5 18
----- -----9 . 14
----- -----1,844. 15
... . .. . .. ... . .. ... -----·-----... -----
26
477 386
5•45
. .. ------
1•41
During the year 1867 the average daily number of children in the Prince's Bridge Industrial School was 420, while the " sick return" for the same period shows 1,844 cases under medical treatment.
CLASS I.-ZYMOTIC DISEASES. Of this nurU:ber 1,365 cases occurred in the Zymotic Class ; ophthalmia alone-which. from the beginning ha~
been the chief drawback to the health of this institution-furnished 754 cases. . Ophthalmia.-On taking charge, on the 1st of March, I found 84 cases· of this formidable disease in hos
pital, many of them presenting signal marks of its destructive character; during that month 160 new eases were added to the sick list, many of which speedily yielded to the measures· adopted for their cure ; but, in consequence of overcrowding, and other unfavorable circumstances, over which I had no control, many of them had repeated attacks, and were several times placed under medical treatment. As the year advanced, however, although fresh eases were occurring daily, I was enabled to keep the disease within comparatively narrow bounds, and also to lessen its virulence, so that on the 31st of December only 15 cases remained in hospital, none of them presenting the virnlenee or intensity which characterized the disease in the earlier,part of the year, and I am happy to add the injury to sight was very inconsiderable. .
mild.
.Measles.-There were 90 eases of measles in .May and June, all of which, except one, terminated favorably. Mumps.-In the months of September, October, and November, there were 120 cases of this disease-all
Wltooping-cough.-Towards the end of the year there were 25 eases of whooping-cough, none of which presented any unusual features.
Fever.-There were 11 cases of continued fever of low type; all had a favorable issue. · <:;:ynanche.-These were eases of ordinary sore throat. -JJiarrhrea and Dysentet:y.-,-There were five deaths from diarrhooa, and one from dysentery, all occurring in
.children of weak constitutions during the period of dentition. . . Scabies-Many of the children 'had this disease on admission; it readily yielded to the treatment adopted.
Cuss H.-CoNSTITUTIONAL DISEASES. Cancrum Oris (T.Jlcerative Stomatis).-The five children who died of this fatal and intractable disease were
young, of scrofulous. habit and delicate constitution. H,ydrocephalus.-The child who died from this disease was sent from Gippsland in a highly diseased state,
'With its head of enormous dimensions. It was an unfit subject for the Industrial Schools. .
CLASS III.-DISEASES OF TirE NERVOUS SYSTEM. Congestion qfthe Brain.-Two delicate children died from this disease during the·period of dentition. Cutaneous Diseases, aonsistinrJ of Eczema, Psoriasis, &a.-Many of the children were affected w~th these.
·diseases on admission ; several of them had repeated attacks during the year.
. CLASS IV.-DEVELOP111ENTAL DISEASES. Marasmus and Debility.-The children who died from these complaints were sickly from their birth •
. The other diseases require no special comment .
. The deaths per cent. of cases of sickness, being 1:41, cannot be regarded as large, when we consider that all eeted children, whethe~; healthy or sick, and of varying from 24 hours to 15 years, are committed to the
's Bridge School'previous t-o being forwarded to other institutions, to which healthy children only of not less than six years of. age are sent. All the children who died at Prince's Bridge School during the year 1867 were under four years of age, and very few above two years. · · '
T. F. MoGAURAN, Medical Officer.
13
INDUSTRIAL SCHOOL, SUNBURY.
RETURN oF DISEASES for the Year 1867 •
DISEASES.
CLASS I.-ZYMOTIC DISEASES:- .. Order I.-Miasmatic Diseases:-
Measles ... ... ... . .. . .. Scarlatina ... ... . .. ... Quinsy ... ... ... ... ... Whoo~ng-eough ... ... ... .. . Catarr ... ... ... . ... ... Dysentery ... ... ... ... Gastric Fever ... ... ... ... Rheumatism ... ... ... . ..
Order 2.-Entltetic Diseases:-Gonorrhrea ... ... ... ...
Total, Class I. ... ...
CLASS II.-CONSTITUTIONAL DISEASES:-Order 2.-Tubercular IJiseases :- \
Phthisis ... ... ... . .. ... Abscess ... ... ... ... ...
Total, Class II. ... CLASS III.-LOCAL DISEASES:-
Order 1.-0f Nerv<>us System:-Ophthalmia ... ... - .., ...
Order 3.-0f Resp_iraWryJ Syate.m :-Bronchitis ... ... ... ...
Order 4.-0f Digestive Organs:-Dyspepsia ... ... ... ... Jaundice ... ... ... ...
Order 8.-0f Integ'IJill!cntary System:-Chilblains ... ... ... ... Skin Diseases ... ... ... . ..
Total, Class III. ...
CLASS IV.-DEVELOPMENTAL DISEASES :-Debility and Marasmus ... ... . ..
Total, Class IV. ...
CLASS V.-VIOLENCE:-Order 1.-.Accidcnt or Negligence:-
.
I Fractures ... ... ... ... Contusions ... ... ... .. . Wounds ... ... ... ... .. . Drowned ... ... ... •·. ~
Total, Class V. ... Totals 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
• Total Number of Average
Duro.tion of Cnses each Case. tre~ted.
Days.
... 3 11
. .. 1 17
. .. 1 10
... 1 60
... 1 9 . .... 1 26 ... 9 12 ... 1 26
... 1 I 5 1--. .. 19 15 i :----
.. . 1 59 . .. 45 27
. .. 46 28
... 534 27
... 1 13
... 37 11 ... 3. 17
.. . 61 31 ... 199 19
... 835 22
. .. 16 16
... 16 16 ----
. .. 1 19 ... 26 10 ... 5 7 ... 1 . .. -------... 33 9
.. . 949 21 {
· ...
Deaths Toto. I perCent. of Number of Deaths. Cases
of !"lckness.
... .. . ... ... 1 100'0 ... ...
.. . .. .
... . .. ... ... . ..
.. . ... --------1 5•26
-------
1 100•0 ... .. . 1 2•17
----
... .. .
... . ..
... .. . . .. .. .
. .. ... . .. . ..
... .. .
4 25•0 -------
4 25·0
... . .. . .. . .. . .. 1 100'0 --1 3•03
7 0•72
... 743
... 127•72 0•94
D. M. KENNEDY, Medical Officer.
•.
14
GEELONG GAOL, IMMIGRATION DEPOT, ·AND ~WATCH-HOUSES .
. J?.ETURN of Drsru.sES .fo~ the. Year 1867.
DISEASES. : ,,
·--! --
CLASS I.-;-ZYMOTIC DISEASES:-
Order 1.-Miasmatic Diseases:-
Erysipelas . .. . .. Dysentery ~··· ...• :Diarrhrea .. . .. . Fever ... . ... Rheumatism ... Ophthalmia . . . . ..
Order 2 ........ Enfketic ])iseases :-Syphilis ... . .. Q-onorrhrea. .. . • ..
Order 3.-.Dietic ])iseases:-· i[)elirium Tremens
Order 4.-Parasitic ])iseases :-Scabies... ... ...
.... '
.... ~ I
Total, Class I ....
CLASS I1~-CONSTITUTIONAL DISEASES:
. Order 2.-Tuber,cular Dise~e :-
Abscess
Total, Class II.'
CLASS III.-LOCAL DISEASES:-
Order 1.-Nervous System:-
Apoplexy .. . Paralysis .. . Insanity ...
• •• f
Chorea... . ..
Order 3.-Diseases of Respiration:-. Eronchitis . .. · ...
Phthisis ... . ..
Order 4.-Diseases of Digestion:- • Hernia... ... .. . Ileus ... ... .. . Dyspepsia and Constipation Liver Disease • . . . . ..
Order '1.-Diseases of Locomotive System:-Decayed Teeth . .. . .. . ..
Order 8.-])iseases of Integumentary SJjstem :-fficers ... ... ... ...
Total, Class III.
CLASS IV.-DE"\TELOPMENTAL DISEASES:
Order.2.-JJiseases of Adults:~
Paramenia Qhildbirth;
Order 4.-Diseases of Nuflrition :-Debility. ... . ..
Total; Class IV~
... ,
Total Number of
cases treated.
4 2 8 4
27 5
1 1
15
1
68
8
8
5 1
35 1
11 1
1 2
46 2
9
Average Duration of. each Case.
Days •.
7 14 18 21 9
11
37 7
14
4
9
9
9 64 73 17
It 59
10 1 1 3
1
6 2.0
Total Number of
Deaths.
.. '· I ,.
Deaths per Cent. of
Cases of Sickness.
----1·----- --------120 25
.. . ----- ----------------
2 8
15 16 l
1 •
2
12•5
8•69
15
GEELONG- GaoL, IMMIG-RATION DEPOT, AND WA.TOir·IrOtrSEs-Retum of Diseases-continued.
(.}
D~SEASES.
'
CLASS V.-VIOLENCE:-
Order I.-Accident or Neglect:-
Wounds ... ... . .. . .. .. . Total, Class V. ... . ..
Total of all Classes ... ... .. .
Average daily numerical strength of establishments Number of cases of sickness per cent. of ditto Number of deaths per cent. of dit~o
Total Number of
Cases treated.
22
22
241
I Average Duration of each Case.
3
18
Total Number of
Deaths;
...
... 2
108 223
1•85
Deaths :per Cent. of
Cases . of Sickness.
... ----. .. 8•03
CHARLES T.RA VERB MACKIN, Medical Officer.
INDUSTRIAL SCHOOL, GEELONG.
RETURN of DisEASEs for.the Year 1867.
Total A~ero.ge Toto. I Deaths
DISEASES. Number of Duration of Number of per Cent. of Cases each Case, Deaths. Cases
treated. of Sickness.
CLASS J . ....:.zYMOTIC DISEASES :- '
··Order I.-Miasmatic Diseases:- Days. .
Chicken-pox ... ... ... . .. . .. 1 7 . .. . .. Measles ... ... ... .. . ... .. . 1 14 ... . .. Quinsy •.. ... ........ ... ... . .. 1 5 . .. . ..
. Whooping-cough ... ... ... ... . .. 1 27 . .. ... Erysipelas ... ... ... ... . .. 2 17 . .. . .. Dysentery ... ... . .. ... . .. 10 13 2 20·0 Diarrhooa ... ... . .. ... ... 1 14 . .. Cholera ...
. .. ... . .. ... .. . ... 1 4 . .. Remittent Fever ... 14 37
... ... ... ... . .. . .. ... Rheumatism ... ... .. ... . .. 2 42 . .. ... Ophthalmia ... . .. ... .. . ... 104 39 ... ...
Total, Class I. ... ... ... 138 35 2 1'45
CLASS !I.-CONSTITUTIONAL ·DISEASES:-
Order 1.-Diatketic Diseases:-
Noma ... ... . .. ... ... . .. 11 23 2 ·1'81
Order 2.-Tubercular Diseases:-
Abscess ... ... ... ... . .. .. . 24. 7 ... . .. Total, Class II. ---------... . ... 35 12 2 5·74
' --- -------CLASS ITI.-LOCAL DISEASES :-
Order l.~Diseases qf Nervous System:-
Epilepsy ... ... ... . ... ... .. . 2 2 ... Convulsions 1 . .. ... ... ... . .. . .. 1 ... . ..
Order 3.-Diseases qf Respiration :-Bronchitis ... .... ... . .. . .. 1 15 . .. . .. -----Total, Class III. ... ... 4 5 . .. . .. .
16
lNDUSTRIA.L ScHooL, GEELONG-Retu:rn of Diseases--continued.
DISEASES.
CLASS IV.-DEVELOPMENTAL DISEASES:-
Total Number of
Uases treated:
A vcrage iQ 'rota! Ouratton of Number of ol'
eaeh Case. Deaths. of
Days.·
... __ o_~_l_· __ o_1
10o·o_. _ Order 4.-Diseases qf Nutrition:-
Debility... ... ...
Total, Class IV.
CLASS V.-VIOLENCE, ACCIDENT, OR NEGLIGENCE:-
Burns and Scalds ...
Total, 'class V.,.,
Total of all Classes
...
...
...
...
. ..
...
Average daily numerical st~ength of establishme)lt ... Number of cases of sickness per cent. of ditto " Number of deaths-per cent. of ditto·
REMARKS .
5 23 • 5 i 100·0 -----~--·~---
2 15
2
1 ... I ... . -----1--1-~- ... -\--... -
----184 29 1 9 ,.-4•89
304 60 2•96
. The health of prisoners and immigrants at Geelong has been uncommonly good during the past year-one death only occurring in the Gaol and one in the Depot. Both were cases of long standing .disease, contracted outside. ·
The state of the Industrial School, also, in the year 1867, must, I think, be considered highly satisfactory in every respect; the total number of cases of illness · · 1867, 184, with 9 deaths; whilst, in 1866, the total number was 512, with 10 deaths. Five out of the 9 however, occurring in 1867, were from exhaustion after ·measles, of which there was an alarming epidemic in the last quarter of the year 1866 .. We had but one case of measles in 1867; which recovered; consequently but 4 deaths properly belong to the sick list of 1867.
The ophthalmia shows an increase of 3~ cases on the previous year. ~l'his is, however, more apparent thau real, as, during the present year, 1867, I have classed every case of temporary congestion of the eye under the general head of ophthalmia, of which it forms the first stage, whilst in the previous year only confirmed purulent cases were recorded. . . ,
CHARLES TRAVERS MACKIN, Medical Officer.
By Authority: JoHN FERRES, Government Printer, Melbourne.