chief medical officer. - parliament of victoria · chief medical officer. return of diseases· in...

187 4.

VICTORIA.

CHIEF MEDICAL OFFICER.

RETURN OF DISEASES·

IN THE

VARIOUS ESTABLISHMENTS UNDER THE CHARGE OF THE . CHIEF MEDICAL OFFICER,

l!'OR THB YEAR

1873.

PRESENTED TO BOTH HOUSES OF PARLIAMENT BY IDS,EXCELLENCY'S COMMAND.

ts11 autf)orii!! : JOliN FERRES, GOVERNJUENT PlUNTER, MELBOURNE.

No. lll.

PreparaUon-NOt given. f'rlntin!l (775 copies)

APPROXIMATE COST OF RETURNS. £ 8. d.

28 i5 0

MEDICAL DEPARTMENT,

Melbourne, 4th March 1S7 4.

No. 74/5~4.

SIR,

I have th.e honor to transmit to you enclosed herewith, for ·

the purpose of being printed and presented to Parliament, Returns,

as per margin, of Diseases and Deaths which occurred in the several W:~~i'&';'.es'l:~a. Ji.ka Reformatory, Cnburg. Penal Hulk1 Sacramento. Industrial School, Me!·

bourn e. Nursery School, Melbourne.

establishments under my medical charge during the year .ended 31st Indust~~ISchooi,&,U::~!'l.· .. :Ballarat.

Gaol, Geelong. , Oastlemaina~ .. Ballarat.

D b 1873 ., Sandhurst.

ecem er , vl~~.:;.eorp •.

I have, &c.,.·

W. McCREA,

Chief Medical Officer.

The Honorable the· Chief Secretary,

&c., &c.,' &c.

. I

'.

RETURN OF DISEASES.

MEL~OURNE GAOL.

RETURN of Diseases and Deaths at the Melbourne Gaol during the Year 1873.

't3 ! ~ .... 't:' .r 'S ,· ~ ~~ ... • • irl ... = Q ~-<..0 a l-1 q)~ ,:g:§ ;o ·,2; 8:J z~ ""'O JS ~e S " Q .g S , .. :lE:; - D'""••es. • ~ ~ A '5 ~ .,; "'"' ~~ \1)5 ~.S Q,m U)~ z~ \1)~ ~~ ~~ Diseases. _ ltl i f~ ~ I .a ~ -; ~ e-s _ 0 ~ :i .s~ I!~ 3A ~0 I ..... ~ ~§ SA ~0

--------------·~--~-o_"--1~ ~i:l i ~'S 11---------------i~i_~_o_t,-.q-:;:~ -~-i:l ___ Ci_i:l_

CLASS I.-ZYMoTio DisEASES. Days. CLASS III.-LooAL DISIIASEs-- Days.

Order 1.-Miasmatic Diseases: Measles ... • •• Scarlatina ... • .. Cynanche ... • .. Hooping-cough ... Erysipelas ... Carbuncle, Boil, &c. Influenza Dysentery ... Diarrhrea ... Ague ... Rheumatism Mumps ...

Order 2.-Enthetic Diseases: Syphilis ... .. . Gonorrhooa • .. .. Stricture ... .. .

Order 3.-Dietic Diseases: Delirium 'fremens ... Alcoholism •••

Order 4.-Parasitic Diseases: Thrush ... • •. 'Worms ... . .. Tinea Capitis ... Scabies, &c. ...

Total, Class I.

CLAss II.-CoNSTITnTIONAL DISEASES.

Order I.-Diathetic Diseases: Anasarca ... ... Cancer ... • .. Tumour ... .. . Noma ... .. .

Order 2.-Tubercular Diseases:

3 8 3 5

65 3 9 10 2 5

70. 10 130 8 88 3

139 8 1 10

90 9 2 9

43 49 15

... 146

... ~256

18 8

12

3 2

1 8

2

3 13 44 91

7 ... 4 ...

18 ... 3 i ' ...

... 1,207 -

2 1 6 1

5 I 6

·4 39 20 /,., 14

3·03 2•16

·049

Scrofula. ... • .. Phthisis ... ...

1 I 53 ... ... 4 i 50 3 75•

Total, Class 11. ... --15T29: 4 26-6 CLAss m.-LooAL DisEAsEs.

Order I.-Diseases of the Nervous System:

Otitis ... ... .. . Apoplexy ... ... .. . Paralysis ... ... .. . Insanity ... ... .. . Supposed Insanity ... .. • Epilepsy ... ... Convulsions .. . . .. Congestion of Brain... . .. Others, including Neuralgia,

Ophthalmia, &c. ... • ••

Order B.-Diseases of the Respira· tory Organs : ·

Bronchitis .. . Asthma .. .

8 8 2 3 4 96

25 9 37 •7 89 16

1 29 1 2

90 15

172 5 3 7

2

1 ·058 ... I

continued ..

Order 4.-Diseases qf the Digestive Organs.:

Hernia ... ... ... Ile\18 ... ••• • •• Stomach Disease-Dyspepsia,

Pyrosis, '&c. .. • • •• Hremorrhoids ... . .. St•rnatitis .•• ... .. . Jaundice ••• .. . Prolapsus Recti .. . • ..

Order 5.-Diseases of the Urinary Organs:

Urremic Poisoning ... Enuresis ... Diuresis ...

Order 6.--;-Diseases of the Organs of Generation :

Orchitis ...

Order 7.-Diseases qf the Locomo-tive System :

Synovitis .. . Periostitis .. . Arthritis ... Caries ...

Order B.-Diseases of tlte Integu-mentary System : ·

Phlegmon, Whitlow, &c. ... Uleer ... ... Others, including Epzerna,

Herpes, &c.

5 40

244 1 2 1 1

1 10 5

1

1 3

26 1

45 102

10 2

3 14 7 1 2

1 7

10

2

24 12 12 22

10 15

1

... I ... 72 15 ,.: I ,.,

• .. 943 i 9- 4 1 ·042

CLASS IV!-DEVELOPMENTAL

Total, Class Ill.

DisEASES,

Order 1.-Developmental Diseases of Children :

Teething ...

Order 2.-Developmental Diseases qf Attults:

Childbirth ... Leucori'hrea Prolapsus Uteri Menorrhagia Bcemorrhage Amenorrhrea

Order 4,-Diseases of Nutrition: Debility ... ...

Total, Class IV.

CLASS V.-VIOLENCE,

Order I.-Accident or Negligence : Fractures ... ... • •• Contusions .. • .. • Wounds ... • .. Bums and Scalds ... • .. Sprains ••• ... • ..

1 11

6 18 12 15

1 4 7 10 1 3 3 8

2_1 10 1-----1-----1-·---1-----

·ss 13 1---l·c----1--'---

7 I 10 40 7 58 9 4 10

50 10 ------1--

Total, Class V.

Total of all Classes

159 9 ... ~ ...

... 2,357 -7-ul-:oG Average daily numerical strength of establishment Deaths per cent. of ditto ... ' ••• , ...

421 3·82

659•8 Cases of sickness per cent. of ditto ... .. •

•' 6

REMARKS. C!

~he ave~'age daily number of warders and prisoners in the gaol during 1873 was somewhat less' than, in the previous ~ year, hemg 421 to 441, The number of cases of siclmess which occurred in 1873 were, however, 2357 against 2074 in 1872,

showing a considerable increase. The mortality was 14--three more than in 1872. Nearly all the sickness which came under observation and treatment was either contracted before admi•sion to the gaol,

or the result of causes cxtemnl to the establishment .. 'fhere is not, probably, in the world, a more healthy place than the Melbourne Gaol; well situated, well built, ventilated· and drained; the inmates property· dieted and clothed, and kept' clear of the e~cesses t~ which their class is liable' outside the walls, are sultiect to very few ailments, and these of a trifling nature. The gaol IS a hosprtal for drunkards, where excellent accommodation, medieal aid, the greatest care, attention, and solicitude are. wasted. on the most,worthless class of beings in the whole community, at a very considerable expense to the State; and, as far ns reformmg these wretch~d creatures, with very little result. 'fheir usual course is to drink till they bring on deJit·inm tremens, get taken up by the pohce, remanded by the magistrates for a weclt.to the gaol, are admitted to the gaol hospital till they are cur~d, and then sent back to court, when they are usually discharged, Such people should be sentenced to a term of hard labor, whrch would amply ·pay for the expense of their treatment,,and would, probably, tend to check the vice ..

. Cr.At!B I.-:-ZnmTio DrsEASEs.

Order I.-Miasmatic Diseases.

, The diseases of this order were more numerous, and the number of deaths greater than usual; the increase is maiply perceptible under the heads of cynanche, influenza, dysentery, aud diarrhma, The 4 deaths which occurred resulted, one fron.1 dysentery, in an old man, after an illness of eleven days, and 3 from diarrhma; two of the three occurred in old women who had reached th~ naturnl, term of life, and the third was in a ·child who hail been· wasted by a long pr.,vious ilhiess of hoopiog-cough. ,

Order .2:-Enthetic I)iseases.

The eases of gonorrhma and syphilis were not more numerous than usuai. and were ~ery amenable to treatment. As the classes of people who come into the gaol, especially the females, are those amongst w~10m these diseases usually prevail, it may be asstlll).ed that venereal disease h11s not yet spread to any gr~at extent: in the colony. , . . .

Order 3.-Dietic Diseases .

. These ai•e the most, prevalent diseases, and during 1Si3 they were. more than usually common-146 cases of deliriu'm tremens, and 256 cases of drunkenness and its results, are a sad reflection on the morals qf the colony. 'fhe peculiar treatment adopted for delirium tremens in the· gaol was, as usuaJ, followed by tlie smallest mortality attonding the disease in any part of the world. This is a satisfactmy result in a medical point of view, but whether it is so in a moral point of view is open to question. ' '

'' Order 4.-Parasitic Diseases.

_These diseases were not more common than usual. Ther~ is a great tendency to skin disease amongst ,prisoners, and indeed amongst all classes in the colony-the dryness of the atmosphere pro?ably contributing to this result:

CLA~S II.-CONBT!TU1'!0NAL DISEA!ES.

The.disc~ses of this class were le~s nu~erous··than usual, but the mol'tality was considerable. Three cases 'of phtl;isis occurred; two. of these were in womim whose constitutions were destroyed 'by a long course of drunkenness and exposure, and one in a man who had been an almost constant inmate of the gaol for years, and who was of a scrofulous habit of body. . One old man, aged 7.2, died of cancer of th!l stomach of long standing, ' ·

CLASS III.~LOOAL DISEASES. .. • I I '

Order 1.-Diseases of tl1e Nervous Sustem.

Tbe diseases of this: order were not more numerous or attended with greater mortality than usual. One of the fat,al cases of apoplexy occurred in a young woman who had fallen whilst in a state of intoxication, and pro baby ruptured a blood-vessel on the brain by the fall. ':rhe other was a case of serous apoplexy in a man 77 years old, the result of diseased blood-vessels of long standing. ·

Order 2:-Diseases of tlte Respiratory System.

The number ~f cases ofbr~~chiti~ during 18i3 was greater than usual, prob~bly owing to the cold winter; they were.not usually severe. One case was fatal in a man 64 years .old; ~ho had also extensive disease ?f liver, heart, aud kidneys. '

Ordcr.4.-Dis~.~;es of the Digestive Organs,

These· diseases were less numerous and of less importance than usual, the principal one, dyspepsi~, ~as the result of intemperance. ·

c •.• h ,

Order 5.-Diseases of tlte l!rinary Organs.- · ,, These diseases were more nume;·~us than )lsual, .and there was one, fat~~! case which occurred in a man'45 years ~l'it; who

died after one day's illness, of abscess of the kidney. ·

, I., , , , , , , . The other diseases in the Return were of small imP.ortanee, and do not require any special remarks.

W, MoCREA. Chief Medical Officer.

7

PENTRIDGE STOCKADE.·

RE;rURN of Diseases and Deaths at the Penal Establishment, Pentridge, dming the Year 1873 •

Diseases.

CLASS 1.-ZYMOTIO DISEASES.

Order I.-Miasmatic Diseases: Boils and Carbuncles Influenza ... ... Cynanche... • •. Tonsilitis ... ... Dysentery... . .. Diarrhcea. ... .. . ,li;nglish Cholera .. . Febrieular... .. . Scarlatina... .. . Rheumatism ... Lumbago... • ..

Order 2.-Enthetic Diseases: Secondary Syphilis ... Stricture of Urethra. Dysuria ... • ..

Total, Class I.

CLASS II.-CONSTITUT!ONAL DISEASES,

Order I.-Diathetic Diseases: .Anmmia ..• Rheumatic Gout ...

I

Order 2.-Tubercular Diseases: Phthisis ... ... Phthisis threatening Bmrnoptysis ... Abseeas ••• • ••

Total, Class II.

CLA.SS IlL-LOCAL DISEASES,


Congestion of Brain Epilepsy ... • .. .Pares1s ... • .. Brain Disease ... Diseased Spine .. . Otitis ... .. . Ophthalmia ... Hypochondriasis ••• Neuralgia.... ... Dementia... • ..

Order 2.-Diseases of the Organs of Circulation :

8 85

5 2 6

15 1 3 8

81 14

Days.

12 4 7 6 6 4 1 8

10 6 4

1 ,16·66

1 lOO·

2 35 ... . .. 14 . 10 ..• . .. 5 6 ... . ..

1-~1~--

194 6M 2 , 1·08

2 6

2 3 8 8

3 7

sf 87 14 7

2 lOO·

----:-----,

3 7 8 1 1 4

14 5 3 8

3 4

77 94 51 4

36 2 9

88

Diseases.

CLASS lll.-LOOAL DISEASEscontinued.

Order 3.-Diseases of the ratory System:

Respi-

Bronchitis... • .. Pneumonia .. . Lung Disease .. . Congestion of Lungs .Asthma ... Epistaxis ... • ..

Order 4:.-Diseasesofthe J}igestive Organs:

Hremonhoids .. . . •. Hernia ... ... • .. Fistula ••• ... ... Dyspepsia, .Acute and Chronic

(including cases of colicy pain, and irritation of bowels)

Jaundice ••• ... . •• Peritonitis... ... ... Hepatitis... ... • .. Obstruction of Bowels ..• Organic Disease of Digestive

Organs... ... .., Ascites ... ... • ••

Order 5.-Diseases ·of the Urinary Organs : . · · · · '

Disease of Kidneys .. • .. . Congestion of Kid~eys .. .

Order 7.-Diseases of the Joints: Diseased Femur ... • ..

Order B.-Diseases of the Integu~ mentary System : •

Skin Disease

Total, Class Ill.

Cuss IV.-DEVELOPMENTAL DISEASES.

Order 4.-Developmental Diseases . of Nutrition :

Debility ...

Total, Class IV.

CLAss v.-:-VioLE!\oE. Order I.-Accident or Negligence:

Fracture ... ... ... Spr~in ... ... • .. Coup-de-Solei! .... Other AccidentS · · .:: · ·.::

Order 4.-Si.t.icide: Attempted Sui~ide ...

... 0

6 44 1 18 1 57 8 18 6 56 2 2

4 11 1 5 8 10

150 6 1 7 1 10 1 12

·1 8

1 116 1 61

1 5 1 9

1 ~4

3 9

252 14

20 6

20 6

8 39 5 22 1 16

13 3

1 4

2 0-79

H earl Disease ••• Aneurism of Aorta ... Syncope .. ; · ... Hremorrhage of .the Bowels ...

7 39 8 103 8 8 1 17

l 1

14•29 33·38 Total, Class V. 23 10 I ... • ..

1--~-Total of all Qlasses , 1>08 10 6 1'18

Average daily numerical strength of the establishment 726 .... Number of cases of sickness per cent. thereon :.. 69·97 Number of deaths per cent. on ditto ditto ... 0·88

:N:un;~herof cases treated in the establishment-Internal, 508 ;" External, 2,316 ...

Average daily number of patients in Hospital

REMARKS.

During the last year there was not one case of infectious illness in the Stockade. There were three cases of insanity removed to Yarra Bend. .

2824 15

Of attempted suicide there was only one case, and that not a determined attempt. Of accidents there was only one of any severity-a man's han.d becoming entangled in a teasing-machine resulting in the

loss of the thumb and third ftnger-lock.jaw was averted by the hypodermic injection of morphia three times a dny for a fortnight. .

'l'he general amount of illness for the year was under the average as to severity. There were six deaths, one of these being from diseased heart, one fi·om aneurism of aorta, one from dysenterv, two from

phthisis, and one from English cholera. · • J. HEED, Af.D.,

Pentridgc Hospital, 6th February 1874. Uesident Surgeon.

g

JIKA REFORMATORY SCHOOL, COBURG.

RETURN of Diseases an<,!. Deaths'at the Jika Reformatory School, Coburg, during the Year 1873. . '

Diseases.

CLASs I . ......;.zu:OTro Drsusii'JJ,

Order I.-Miasmatic Diseases:

Erysipelas ... ... ... ... . .. Boils . ... ... ... . .. .. . Influenza ... . .. . .. ... .. . Cynanche ... ... ... ... . ..

~ Diarrhooa ... ... . .. ... . .. Febricula ... ... ... ... . .. Scarlatina Mitis ... ... ... -. ...

·Colonial Fever ... ... ... . .. T~tal, Class I. ... ... ...

Total Number

of c ... es

Treated.

1 2 5 2 l

20 s 1

35

I Avera~e : Total I Deaths Duration · Number i

0 petr f

, ol of ! en .o i each Cue. Deaths. T;:'::d.

Days.

' 11 . .. .. . 6 ... .. . 6 ... .. . 5 ... .. .

I 4 ... .. . 8 ... .. .

10 . .. . .. 21 ... . ..

----8 ... .. .

-------· -------. CLAss II.-CoNSTITUTmN.&L Drsmums .

. Order 2.-Tubercular Diseases:

Abscess ... ... ... 1---2_\ __ 7 __ ·_··-._ .. _·-Total, Class II.

CLASS 111.-Loc.&r. Driii!:.&SEl!.

Order 1.-Diseases of the Nervous System :

Epilepsy ... ... ... Ophthalmia .. • .. • .. •

Order 4.-Diseases of the Digestive Organs :.

Dyspepsia J·aundice

Order 7.-Diseases of the Joints:

Di.seased Tibia ... . .. ...

Order B.-Diseases of tl1e Integumentary System :

Skin Disease ... ... . .. . ..

. ..

...

2 i

1 1

16 l

1

Total, Class Ill. ... ... . .. 21 ,.

CL.&I!!l V.-VIOLENCE.

Order I.-Accident or Negligence:

Accidents ... ... ... ... ... 4

Total, Class V. ... ... ... 4

Total of all Classes ... ... ... 62

Average daily numerical strength of establishment .. . Number of cases ofsickness per cent thereon .. .

d . h bl' ·h ( Internal 62 } Number of cases treate m t e esta IS ment 1 Extcrnai, 400 Average daily number of patients in hospital

REMARKB •

7

9' 8

s 7

127

18

10

8

s

8

115 li8·9t

462

1/g',

• The Jika Reformatory was established at the ,end of January 1873. Since then the health of the boys has been generally. gooil. All ailments were slight and unimportant. No deaths occuJ·red,

·Jika Reformatory School, 6th February 1871.

J. REED, ~l.D,, Medical Officer in Charge,

PENAL HULK " SACRAMENTO," RIVER YARRA.

RETURN of Diseases and Deaths on board the Penal Hulk Saerarr,tento during the Year 1873.

I ~

·~ .;od

I ~.; <i 0

". " "'" ~a "'"' i!o ~~ """ "'

UL i a~ ~~ "" A'§ S.! :..,.

Diseases. cle "'"' ""' .,., Diseases . "" ZE-1 If~ ::11:> "'" "'"' -"' ~~ " e~

""' .;!A "'"' ~::! "" :a ~s !(~ ~0 "' E;<Q A'S Q -------CLASS I.-ZYli!OTIO DISEASES,

Days. CLAss III.-LocAL DISEAsEs- I

Days.

Order i.-Miasmatic Diseases: continued,

Influenza ... ... 33 15 . .. i Order 2.-Diseases of the Organs of

Circulation : Dysentery ... ... ... 4 11 ... ... Diarrhrea ... ... ... 22 5 ... .. . Palpitation . .. ... 3 8_, Rheumatiam, Chronic ... 19 7 ... ' ... Varix ... . .. . .. 2 6 Cynanche ... ... ... 1 ·I4 ... . .. ' Heart Disease . .. ,. . 3 4 Boils ... ... ... 6 12 ... . .. Carbuncle ... ... ... 1 10 . .. ... Order B.-Diseases of the Respira-Pleurodyne ... ... 2 2 . .. ... tory System : Coryga ... ... ... I 7 ... . .. · Bronchitis, Chronic ... ll 8 ...

Order 2.-Enthetic Diseases : Order 4.-Disease8 of the Digestive ' Organs:

Syphilis ... ... ... 3[ 7 ... . .. Hernia 2 2 Stricture-Urethra ... 3' 20 ... ... ... ... ... ... Dyspepsia : .. 6I 5 ... ...

Bremorrhoids ... ... 5 5

Order 8.-Die.tic Diseases: Colic ... ... ... 7 2 . Constipation l 5 ... ... Delirium '£remens ... ... 2 1 ... ... Pruritus Ani ... .. . I I

Fistula in Ano ... ... 1 7

I Tormina ... ... 4 3

Order 4--Parasitic Diseases : Prolapsus Ani ... ... 1 1

Worms 1 1 Hepatic Congestion ... ... 4 3 ... ... ... ... . .. Scabies ... ... ... 2 3 ... ... Order 7.-Diseases of' the Loco-

Total, Class I. ... 100 6 ... ... · motive System :

Nodes ... ... ... 1 3

Order B.-Diseases of the Integu-

CLASS H.-CONSTITUTIONAL mentary System: 0 DISEASES. Pri~kly Heat ... ... 3 5

Order 2.-Tul!ercular Diseases: Ulcers ... ... ... 5 18 Phlegmon ... ... ... 1 5

Scrofula ... ... ... 1 13 ... ... Eczema ... .. . ... I 12 Hmmoptysis ... ... : 1 i 4 Whitlow ... ... 2 14: ... ... Abscess ... ••• ! 4 • 13 ... ... Cutaneous (anomalous) ... I 30

~-- - Warts ... ... 1 1 Total, Class II. ... '6 11 ... . .. 1-

I •rotal, Class Ill, ... 139 6 ----

CLASS v.-VIor.ENOE. CLASS III.-LOOAL DlSEASES. ' Order I.-Accident or Negligence;

Order I.-Diseases qf the Nervous Contusions ... ... I9 5 System: ... Wounds ... ... ... 1\ 9

Neur ia ••• ... ... 3 7 ... . .. Sprains ... ... .... ' 24 5 ... ... 7 2 ... ... Fractures ... .. . :::i-J_ 25 Conju itie ... ... 3 8 ... ... Sunstroke ... ... 4 Pterygium ... ... l 14 ... . .. !~:<sanity ... ... ... 1 24 ... .. . Total, Class V. ... i 57 6 Olititis, Chronic ... ... I 11 ... . ..

3021 Ophthalmia ... ... 2 7 ... ... Total of all Classes 6 ...

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.

127 237·80

o-79

! ..; .e 2 ! ~~ a ..... -~ =~ ~--~i ~~ ~A ~o ~tg A-s -----

... .. . ... ... ... . ..

. .. . ..

. .. . .. . .. .. . ... . .. ... .. . . .. . .. . .. .. . ... .. .

... . .. ... ... ... ...

.. . .. .

... .. . ... .. . . .. . .. .. . .. ; .. . . .. . .. I . .. 1-:.: .. :...~ ... ... ... -·----

... . ..

.. . ... .. . .. . 1 50•0 .. . .. . -1 I•7

I 0·3

Although the average daily number of priso~ers and officers on board the Sacramenta in 1:878 is considerably in excess of that of 1872 (127 to 102), yet the number of cases of sickness is somewhat less--302 in 1873 as P?mpared with 320 in 1872. . . .

There is, as there has been for years past, a great similarity in the character of the sickness. There has been one death. This occurred in the case of a Chinaman who, from a sudden and unexpected fall of earth

in the quarries, sustained compound fracture of the tibia and fibula. The leg was properly attended to within an hour of the accident. The case progressed most favorably. The external wounds had in due time healed and the bones united, when he was suddenly, on the 44th day, aeized with acute 'enteritis. Notwithstanding every e'ffect to bring about a contrary result he died on the 46th day, after 48-hours illness. There was no apparent cause for the suddenness of the entiritic attack.

Chinamen as a rule sink rapidly under attacks of acute disease, at least such is my experience,

27th February 1874. No 16, B

AND. PLUMMER. M.D., Medical Officer.

,•'

19

MELBOU~NE }NDJ]S.TRIAL :SOHOOL, ST. l(~LDA . ROAD.

RETURN orDiseases and Deaths at the Melbourne Industrial School; St. Kilda·Road, during the Year 1873.

Diseases.

. ,.

CLASS 1.-ZY!.!OTIO DISEASES.

Order !.-Miasmatic Diseases:

Varicella ..• 1\:leasles ••• Scarlatina .... Diphtheria Cynanche Tonsillaris Cronp ... Hooping'-cough· Infantile Fever Boils · Influenza ... Diarrhrna ... Rheumatism Conjunctivitis Mumps

••• I

Order 2 . ...:..Enthetia Diseases:

Condylomata

Order 4.-l;"arasitfc 1

Diseases:

Impetigo '·.. 1

Scabies Ringworm.

' . TotaJ, Class I.

CLASS II....,...CoNSTITUTIONAL DisEASEs.

Order l._:,.Diathetic Diseases:

Tumour ;,; Cancrum Oris ..

Order 2.-T!tbercular Diseases:

.Abscesses ....

Total, Qlass II •.

8 2

10 a

27

18 30 46 19 5

1 2. 1 36 "69"' 6 15 10} 1 18 25 50 4

. 33·3

lOO· rs:6· 6•6

7 16' 2 28·5 1 12 .•....

12i 28 3 17 ':'i I 33:3

• 1 15

,.

L.

Diseases:"

cu.~s IJI.-LocAL DisEAS~scontinued.

'Order 3.-Diseases of the -Respi· ratory Systein :

' 1 ,Bronchitis ...

i I ,

Order·4,-Diseases of tlte Digestive, Organs: . ,

Peritonitis.:. Jaundice ••• Prolapsus Ani Colic ...

••" I .. .

I

.Order 7.-Dfseases of tlte Joints:

Necrosis· ... • .. Disease of,Bip.Joint' Disease of Knee Joint

,. Order B.-Diseases of the Integu· · · mentary 'System: .

. Paronychi~ · .... ..Ozoona. · .. . . Phlegmon ... ·

Ulcers ' .. . Urticaria Eczema Psoriasis ... ~

'Total, C!ass Ill.·

. CLASS IY.-DEVELOPME~TAL , .DISEASES.

Order 4.-Deuewpmental Diseases of Nutrition :

Marasmus and Debility

Days .

.19 18'

.,, '1 8 1 lOO· 2 6

'ld'··i 73 .. ''"• "''3 ...

•'i

3 181 ...• ,1 . 47 ~ ... , 1 ·so

"· 5 31 1.' 48 6 14 4 21 1 32

19 86 1, ,36

'·'

89: >.1 : 1~1

---

···"'

1l 32 3" . 27'1 ,. ' ---, -------

CLASS 111.-;:-LooA~ DISEASES.

Order I.-Diseases of the Nervous ·System:' . · _

Epilepsy ... Hysteria .•• St. Vitus' Dance Congestion· of. Brain Ottorrhrna ...

1 130 1• 6 l 59 1 s

15 67

:Total, Class IV.

Order I.-Accident or Negligence :

Wounds !:. ' ' Sprain Burns aud Scalds

. Dislocation o~ Elbow J~int

. Total, Class Y •. . .. .

11 32 3 ----

i''

.,,l, , ..

5 32. ... 1 17• 7 22 1 10

: 14' 24

. Order 2.-Diseases of tlte Organs 0 'i "'''> .' < '• J ,. I ----of Circulation·: ·

Heart Disease 108

Average. daily numerical strength of establishment Number of cases of sickness per cent. of ditto .. Number of deaths per cent, of ditto · · ·


' ...

lH4

306 200·68

5·09

28 18

l .. .. ~' ' .. ' . ' > 1 .... ~. l <'

' ' ' ' , ' .. REMARKS. ~· j ;

'!

. Th1•ee cases· of .diphtheria occurred in this institution during the year just ended, two of which r~~ve~d. The cases. of conjunctivitis were of a mild charact,er, an9 all rqsnlted in complete I'eco.very. . The hooping cough cases were very severe, and those that ended fatally were the result of sheer exh~ustion: On the whole the Returns of '1873 compare favorably with those of previous years,'

27•3

r. ~ ••• ....

---2•9

.b'. T. McGAURAN, ?>iedical' OiUcer.

.

11

1\IELBOURNE INDUST~IAL NURSERY SCHOOL.

RETURN of Diseases and Deaths at the Industrial Nursery Sch~ol from 1st January to 30th June of the Year 1873.

':; I • ;1 ':; ~.0

I '5 ,; <l

l ~.g

2] ... g~ .... ~~ ~" " """ ll 83 ::;;i .Q 0~ SB "0 -a DiseaseS} S"' ""'"' s ... ~ I ~~ ... ~

::~e "17< · Diseases. ,.1! <>!;; od

it "'-., ~t!< "" " """' ?:i~ er. o "'" I ,. " i>l,; i "'ill

•I s~ ~'S ~r/) _,. f'S -"' e., ~" .S:il .. ~ "'"' "o "" ~" dO

"" '"" ~~ '"" ~~~ ""' ~~ . ,17<0 "'l;::s E~O E-<A ---- -- ··~-~~·· --- -------I

Cuss I.-ZYMOTIC DisEASEs, • CLASS III.-LOCAL DISEASES.

Order I.-Miasmatic Diseases: Order I.-Diseases of the Ne;vous System:

Diphtheria ... ... 1 14 ... ... "

Scarlatina ... ... ... 2 40 ... ... Ottorrhma ... ... ... 14 43 . .. . .. Cynanche Tonsillaris ... 1 45 ... ... Congestion of Brain· ... 3 7 3 100· Croup ... ... ... 1 7 .. . . .. , Infantile Fever ... . .. 6 11 2 33·3 Order 3.-Diseases of the Respi-Hooping ·cough ... ... 5 53 i 20· ratory1 Organs : Diarrhma ... ... ... 10 16 3 30· Influenza ... ... . .. 1 19 ... .. . Bronchitis 5 29 Boil I 1 35

... ... ... ... ... ... . .. ... ... Co!iJunctivitis ... ... 57 39 ... .. .

I i I Order 4. -Diseases of the Digestive ' Organs:

Order 4.-Parasitic Diseases:

I .

Impetigo 38,42 Prolapsus Ani ... ... 2 33 ... . .. ... ... .. . ... .

Ringworm ... ... 12 ss ... . .. Scabies ... ... ... 6 . 19 ... I .. . Order 8.-Diseases of the Integu-

I mentary System :

'i

61 Paronychia ' '1 50

Total, Class I. 201 36 3• ... ... ... ... ... Ozama 1 36 I ... ... "·.~ ... ... :_,__

-~---------

CL.a.ss II.-CoNS'l'ITUTIONA!, I . Total,.Class ITI ... 26 85 3 ll·5

DISE!SES. -------I '

Order I.-Diathetic Diseases: I

I. 16-6

CLASS IV.-DEVELOPMENTAL DISEASES.

Cancrum Oris ... ... 6 25 1 I Order 4.-Diseases of Nutrition :

Order 2:-Tul!ercular Diseases: I ' ' Marasmus and Debility ... '10 46 1 1()-

Abscesses ... ... ... 3 48 ... I ... ·I ~ -~--

. ' Total, Class IV. 46 1 10· ... - :----- ? ------ ---

Total, Class 11. ... 9 32 1 11•1 Total of all Classes ... 246 36 11 4•4

'

Average daily numerical strength of establishment

Number of cases of sickne~s per cent. of ditto

118 208·47

9·3 . Number of deaths per cent. of ditto ...

REMARKS.

The " Industrial Nursery School,;' which was opened. in La Trobe street in August 1872, chiefly for the younger children, . . was closed on the 30th June 1873. ·

One case of Diphtheria occurred which terminated favorahly. The cases of conjunctivitis, although tedious in many

instances, did not result in any impairrnent'of vision.

The system of wet-nursing the infants outside the institution has been hitherto successful, I must, however, state that

latterly I have had some difficulty in procuring wet nurses.

F. T. l'rioGAURAN, Medical Officer.

SUNBURY INDUSTRIAL S.CHOOL- AND REFORMATORY.

RETURN of Diseases and Deaths at the 'Industrial School and Reformatory, Sunbury, during the Year 1873.

CLASS I.-ZYMOTIC D~EABES, Order I.-Miasmatic Diseases :

Catarrh and Cvnanche Conjunctivitis· ... Croup ... . •• Erysipelas .. . Fever-2 Typhoid .. . Hooping Cough ... Rheumatism ...

Order 4.-Parasitic Diseases :

Scabies and Ringworm of the

Days.

85 10 82 20 ....

2 17 2 20' ••• 8 35

2/5. 43 . 1 58

Scalp, &c.,-&c. ••• ·•••·. I. ~:-4611 ... • ...

Total, Class I. !-1'871

CLASS ll.-Co;sTrTUTIONAL DISEASES.

Order !.-Diathetic Diseases:

Cancrum Oris Tumour ...

Order 2.-Tubercular Disease.:

Abscess .•. • •• Enlarged Gland ... Fistula ... .. . :Morbus Co:xre .. . Phthisis Pulmonalia

Total, Class II.

CLAss III.-LocAL DisEASEs.

Order 1.-,--Nervous System : ·

Brain Disease , ... . . .. Cephalgia... ... ... Corneitis, Granular Lids, &c.

Order ~.-Circulatory System:

Heart Disease ... Hremorrhagic Diathesis

i i--

1 15 1 I5

18 12 I ...

1 10 1 89 0 119 .,, I ...

1-:--2-:-,15,.,..2_. 1-_2 __ .1~ 29 43 2 1 6·89

1 6 1 14

23 86

1 7 1 78

I -lOO·

1 lOO·

I

CLASS 111.-LoOA.L DIBEASllScontinued.

Order B.-Respiratory System:

Bronchitis ... Empyema (Paracentesis

Thoracis) ••. Pleurisy ... . .. ! ,. ....

Pneumonia ... Gangrene of Lung ...

Order 4.-Digestive System :

Gastralgia Jaundice

Order 7.- Locomotive System :

.. -~ ...

Ankle Joint Disease, Injury to Knee Joint Disease... . •• Housemaid's Knee ... • ••

Order B.-Integumentary System:

,Chilblains .•• Ulcer. ...

Total,' Class Ill.

CLASS V.-VIOLENCE.

Order I.-Accident and·N egligence:

Contusions Burns and Scalds .. . Fracture .. • ' .. . Sprain ... Wounds ...

Total, Class'Y.


Days.

1 78 ...

1 268 2 31 2 15 1 9

3 10 1 36

1 10 1 28 8 13

6 28 2 21

1 100·

___ , __ _ 56 53 3 5•36

---!---

I ! I!~ ::: ::: 2 37 ... ... 2 . 17 ... . .. 6 12 ... • ..

l-1----16 25 ... ...

i- .1--_2881421 5 I•74

A ve~age daily strength of-establishment

Nnmbcr o£ cases of sickness per cent. of ditto

Number of deaths per cent. of ditto

613

•'46·98-

0•81

RE¥ ARKS.

The above cases do not include those treated external to the hospital.

Five deaths occurred during 1873. Two of these took place among the girls. in the reform'atory :-one from phthisis

pulmonalia, the other from .acnte inflammatory disease of the heart combined with pneumonia.

T-he third was a case of confirmed phthiSis, sent as an invalid from the Nelson, and died. i;n less than a !Jlonth from the time of his admission to the school.

·Of the two remaining cases one. died from chronic disease of the brain, the other from gangrene of the lung.

Several cases of hooping cough occurred towards tre end of the year; none terminated fatally.

Of the two cases of typhoid fever one has completely recovered, an~ the other, still in hospital, is progressing favorably.

In regard to cutaneous diseases,.a large number of sealp cases, chi~fly ringw~rm, were treated external to the hospital

and akin disease ward. The'se are not included in the above returns. ' . , .. . ' A. SHIELDS, M.D.

13

GEELONG INDUSTRIAL· SCHOOLS.

RETURN of Diseases and Deaths at the Industrial Schools, Geelong, during the Year 1873.

'S - I ... - I . 'lS ..... r~ 0 "' §$ 0 ~'g

tod ~~ 2~ "" ~ i ~~ i """' ~~ "' ' "' u ".<! ~ ~~ Diseases. u ~ I ~~ Diseases. Cl (1,> ~0

"'"' Z 00 m a> ~~ I i! ~ .. "'"' e-s :s~ ... ~

~~ :se ;a -a~ 0 ~" ~g .. """ <"m " <00

, ~A, A~ ~8 : ~~ OO> A-s ~"" <1~ <-<A

----- --·--- -··~- ----------Days. . Days.

Cuss I.-ZYMOTIC DISEASES: CLASS III.-LocAL DISEASES-

Order I.-Miasmatic Diseases: • continued.

Quinsy ... ... . .. 6 4 ... .. . Erysipelas •.• ... ... 1 6 ... . .. Order 8 • ...:..Diseases of Integuments: Boils, &c ..... ... ... 5 4 .. , . .. Catarrh ... ... . .. 29 3 ... ... Ulcer 3 12

1 7 ... ... . .. ... .. . ... .... . .. Dysentery ... i24 . Skin Disease.s 41

Diarrhroa 6 'o i ... ... 1-1--=--... ... . .. . .. ... ... Fever ... ... . .. 96 6 ... ...

... ~_:I_:__ .. _.-Rheumatism ... ... 4 8 Total, Class Ill . Ophtlialmia ... . ... 40 6

Order 2.-Enthetic Diseases: i f

Syphilis ... ... . .. 2 63 . .. :~I -- - CLASS IV.-DII:VELOPMENTAL

Total, Class I. 190 6 DISEASES, ... ...

--------- Order I.-Diseases of Children:

Cw.ss !I.-CoNSTITUTIONAL Club Foot ... 3 98 DISEASES.

... ... Paramenia .•• ... . .. 1 3

Order I.-Diathetic Diseases: Debility ... ... . .. 8 38

Phthisis ... ... .. . 1 298 1 lOO· 12. I 50 Abscess ... ... . .. 19 7 ... .. . Total, Class IV • ...

Total, Class 11. ... 20 21 i 5•

--------- CLASS V.-'VIOLENOE.

Cw.ss III.-LocA.L Disi!IABES. Order,l.-.Aecidentpr Negligence: .

Order 4.-Diseasl!$ of Digestion.: Fractures ... ... Wounds ... ...

Dyspepsia ••• 8 2 ... ... ... ·•· Scalds Jaundice ... 1 9 ... . .. ... ... . .. . .. Liver Disease ... ... 2 11 ... . ..

Order 1.-Diseases of Locomotion: . I Arthritis ... Caries ... ... ... 7 9 ... .. . ... .. . 1 365 ... . ..

.

:Average daily numerical strength of establishment

Number of cases of sickness per cent. of ditto


REJ\IABKS.

Total, Class V.

Total Of all Classes

... 1

... 14

. .. 2

--... 17

---... 385

249 154•62

0•40

We have had less illness (by about 60 cases) in these schollls during 1873 than in the year previoiiS, There was one death in 38G ca.ses of sickness. ·

42 I 5

11

--8

--20

... .. . ... ... ... ...

... . .. - ---

... . .. ... ... ... . .. __ , ___

... . .. -----

1 0•26

The death was that of a girl, deformed in the chest, and affected with scrofula, or rather with a compound disease of syphilis and scrofula, which broke out periodically in deep excavated ulcers on the thighs. She had extensive tubercular deposits in both lungs, probably congenital.' 'Whenever the ulcers healed over (as they did from time to time) the lung disease became aggravated; and she at length sunk nnder one of the seizures •. She would not have lasted nearly so long as she did, but for the sea air and the sea bathing. •

'('he fever cases, 96 in number, ought rather to be called cases of "febrile disturbance," as very few were confined to bed' beyond a week. · ·

There has been no serious eye disease. The cases under the head of "ophthalmia" were merely inflammation of the ou~r tunics of the eye-that is, of conjunctivitis. They gave me'but little trouble, .

The benefits of the salt water are obvious in the children at this school, and the special advantages of regular sea bathing in all cases of chronic eye affections, in constitutional scrofula, and in general debility of the system, can scarcely be over-estimated. · ,

The duration of sickness has been rcmrukably short in most cases. Chest and throat complaints were few and unimportant. About a do21en operations were performed-chiefly f~r club foot, inversion of the eyelids, and cataract.

CHAS. T. MACKIN, M.D.

I [·

14

BALLARAT INDUSTRIAL SCHOOLS

RETURN of-Diseases at the Industrial School8, Ballarat, during the Year 1873. ~~' ! ;, I . '

Diseases.

CLAss I.-ZYliiOTIO DISEASBS. ' .

Order 1.-Jl{iasmatic Diseases: ....

V arice lla1

• .. • .. 1

••• Diphtheria ••• • •• Quinsy .•• ••• ... Fever ··• ... . .. non ... ... . .. , Diarrhrea ... ••• .. . Rheumatism.~.: ... .. . Pa~otitis ... ••• . .•


Scabies ... , Imp~tigo· ,. • .' 1

Porngo ...

Total, Class I.

<i I

CLAss II.-CoNSTITUTIONAL DISEASES.

Order I.-Diathetic Disea8es: , '

Tu m or

Order 2.-T'!-bercular, Diseases~: Phthisis ••• ... Abscess ... • .. Abce.ss (Chronic) .••

....

3 2 8

12 3 1 . 1 9

Days.

9 10

15 9 6

i.o ... 4 15

10 6 ••• 48 60 .•.

::: I

. 3~~~~-=- .. . 100 ~~ ;J-=- .. .

2 27

1 19 11 6

... .

1 ISO· . I ... 115 -~~-.~--.... '1-~ .. _--'i

·r-

T.otal, Class II.

CLAss.IIL-LocAL DISEAsEs.

Order 1.-Diseases·of the Nervous System:

Cephalgia... .. .

CLAss. III.-LocAL Disi:.asEs:... continued.

'. Order 4.- Diieases of Digestive

System:

Hepatitis ... ·' ...

Order 7.-Diseases of tlte Locomo· tive System.•:

Arthritis ...

()rder B.-Diseases of the Integu· mentary· System:

Whitlow .. . Eczema .. . Herpes 1 ... Urticaria ... Murigo ... Acne ..... 1 ;. ...

2

3 59

2 2

~

.7 ....

9

9 53

6 9, ...

23 'g

Mtyriasis .. . Chilblain• ••• :·:: 1~6 1· ~~ ::: ' ...

1--.... 38 ...

. ... ~

·Total, Class III.

CLASS IV.-DKV"ELOPMENTAL DISEASES.

Order 2 . .,.-Developmental Diseases , of Adults:

1 ,. '

Paramenia

Ord~r 4,:_Dise~ses of Nutrition:

Debility ... ... • ..

Total, Class IV.

Cr,iss V.-VIOLENCE.

'., •f~

1 23 ! ...

2 120

.3 87 ... ... ----

Chorea · .. ; .. . Ophthalmia (Catnrrbal)

10 2 1 30

~ i i6 ' I Orde~ 1.-Acc,ident' or Negli~~nce:

Conjunctivitis ' ; .• Corneitis ... • .. 21160 1. 14

Dislocation 1 ; Wounds Sunstroke ... ·

Contusion 2 ... 3 9 .. .

Cataract ... ...

Order 3.-Diseases of Respiratory System:

Scalds ...

Bronchitis Pneumonia :I.: I

Average d11ily numerical strength of establishmel\t

Cases of sickness per cent. of ditto

There was no death. '

REMARKS .

Total, Class_v.


...

8 12 .. . 2 3 ... 4 20 i

... 17 ~~~-1-=-l

... 244· s4l ... I ...

184

132·60

. . The siekness .during this year has been' considerably more than last year, in' consequence of an epidemic of skin 'disease,

which, ~owever; is gradually disappearing •. Therci have been· two cases of diphtheria, both of which .recovered ; and by strict

isolation and careful sulphur fumigation the disease wa.s preve~ted from extending:

The general health. of the children cont~nues to be excellent.

There has been no death during this period. '

RICHARD BUNCE, lii edical Officer.

15

GEELONG GAOL. 1

. RETURN of Di.seases 1!-Dd Deaths at the·Geelong Gaol, during the Year 1873. . • ' I'- I • \

' Cuss I.-ZYMOTIQ Drs:aAs.l!'s, .

Order-I.-Miasmatic lliseases:

Quinsy ••. .. . (' ... Dysentery .. . Diarrhrna .•. • •• li'ever ·- ••• Rheumatism ' ....

· Ophthalmia. •.•..

Order 2 . .....:En'thetic Diseases : Syphilis ... ... Gono!T hrea •••

Order 8<-Dietic Disea~es:

Delirium~remens •••

Total, Class I.

I: 3 1

12 1

28 2

2 4

Days.

5 8 5

10 14! ••• 14

56 18

16 10

68 12

·'

CLASS III.-LooAL DISEAsEs-continued. ·

Order 4.-Diseases of Digestion :

Hernia •.• Dyspepsia ••. Piles · .. ;

Order 5.-Diseases of the Urinaf'!/ Organs:

Ischuria •••

Order 7.-Diseases ~f Loc~11Wtions .' Arthritis ••• Ostitis

Order B.-Diseases of Integuments:

3 38 8

4

4 4

. •... I

7 2 3

2

8 1

Ulcer ·"""l: 8. 23

CLAss H.-CoNsTITUTIONAL DISEASES.

Order 2,_:_Tubercular Disea~es: Phthisis ••• • •• Abscess ••• • ••

1 .?8 ~~·· .. . 7 i 3 .. .

Total, Class II. ... ,·-8115··- -... -·-~·_,_,_

. . . . l:

CLus III.-LocAL DrsEAsEs.

Order 1.-Disetises of the Nervous. System: ...

Paralysis •••. Insanity ••• Epilepsy •••

Order 2.-Diseattl of Circulation:

Heart.Disease ~

Order 3.-Disea!es oj Respiration:

Bronchitis .... . . . . ~ · Congestion of Lungs

\

2 51 14 14 3 8

43

'· 18 10 1 12

...

33·3

Average daily strength of establishment

Total, Class Ill.

Cuss IV.-DEVELOPMENTAL DtSIIlABES.

Order 2.-Diseases of .Adults:

Paramenia Pregnancy

Order. 4,_:.Di1eases of Nutiition:

Debility ••. , .. • • ••

':I'otal, Class IV.

CLASS V.-VIOLENCE.

Order 1.-Accident OT Negligence :

Fractures .. . Wounds .. ..

,Total, Class V. .•.


. Number of cases of sickness per cent. of ditto · Number of deaths per cent. of ditto

REMARKS.

----------110 12 1 0·90

·. 3 1 .,.!'1 ~-'"

42 53

46 49

-.----

3 21 9 5

12 '9

244

. Towards the end of the. year 1873 the sickness materially increased through the arrival of a number of chronic invalids.

One death took place within the twelve months out of 244·cases of illness. The death was that of a broken down drunkard; the causes, disease 9f the heart with general dropsy. • .

There ·was but one operation of any consequence, this was resection of the bones of the leg for a badly ulcerated conical

stump, resulti~g from a previoliB amputation.

CHARLES TRA VERS MACKIN, M.D •

.. •

16

CASTLEMAINE GAOL.

RETURN of Diseases and Deaths at the Castlemaine Gaol, during the Year 1873 • . .

'0

1if1J ~>0 '0

.1.:... ~-d ., 0

E.g m .s , ~8:~ "" "'~ ' Qd O:J s"'d .... i: " "" Diseases. "!l &&c Diseases. A~i§ 11~1 'ZE-< ~~ !f" ;.-;.; £~· !ig

!j !J ,.:a -a: ~0 . - ~~ ~ ~: 1"'0 c" ~'S "~ E-<t.> '«d:::l E-<A Ao

--1- 1- ---·--Days.

* Days.

CLAss I.-Z:nrono DISEASEs. ' CLASS III.-Loc.u .. DisEASES-

Order I.-Miasmatic Disease's: continued,

Quinsy 5fl. ••• • •• ' 1 8 Order 4.-Diseases of the Digestive ... .. . Organs: Typhoid Fever and Febricula 5 12 ... ... -Influenza ... ... ... 14 7 ... . .. Gastritis ... ... ... 2 6§- . .. ... Dysentery ... ... 4 4 ... ... Enteritis ... . .. ... 2 47i .. . ... Diarrhooa .•• ... 14 6lJ, ... ... Piles ... .. . ... 2 5~ .. . ... Rheumatism (Chronic) ... 19 9 ... ... Hernia .... ... ... 2 ,l,j- . .. . .. Rheumatism (.A:cll'te) ... 1 6 ... . .. Colic ... . ... ... 4 4,} . .. ....

Dyspepsia ... ... . .. 4 2i- . .. ... Order 2.-Enthetic Diseases: Hepatites ... ... ... ,1 14 . .. ...

l:.iyphilis .. . ~·· ... 1 4 ... .. . Order 7.-Diseases of the Loco-Gonorrhooa and Stricture ... 7 8 ... .. . motive System i • - Ostitis 8 ·. Order 3.-Dietic Diseases : ... . .. ... 61 . .. Caries and Necrosis ... ... 2 2l, . .. ...

Delirium Tremens and Opiaticm 9 6 ... ... , Order B.-Diseases of the Integu- .

Order 4.-:Parasitic'Diseases: mentary System : Worms ... .... ... 1 2 ... . .. Boils ... ... ... 2 22~i .. . .. .

-- ---· Ulcers ... ... ... 1 i ! ... Total, Class L ... 76 7 ... ... Skin Diseases ••• t ... 8 4!i . .. ...

- ---' Total, Class Ill. 56 8 ... ... .. .

CLASS II.-CoNSTITUTIONAL ' DISEASES.

Cr..ASS 'IV.-DEVELOPMENTAI.o Order 2.-Tubercular Diseases: ' DiSEASES. Phthisis ... ... . .. 1 8 ... .. . Abscess ... . .. ... 4 9 ... .. . Order 2.-Dev. Diseases of Adults: Hmmoptysis ... ... 1 9 ... .. . Paramenia 1 6 ... ... . .. .. . ----------

Total, Class IL ... 6 ·9 -. .. . .. ' ------- Order 4.-Diseases of Nutrition:

D.ebility ... ... . .. 10 Si . .. CLASS III.-LooAt.o DisEASEs.

I

Total, Class IV. 1~1~ .... ... ... Order I.-Diseases of the Nervous

System: • I

'Insanity ... ... 1 10 ... . .. CLASs V.-VIot..ENOE. Neuralgia ... ... ... 7 7 .. . ... Ophthalmia ... ... 2 7 . .. . .. Order !.-Accident or Negligence: Deafness and Ottorrhooa ' 2 8 ... ... . .. Contusions and Bruises

Wounds ... ... Order 2.-;;-Diseases of the Organs

of Circulation : Order 5.-E:z:ecution:

Disease of the Heart ... s 7 ... ... Hanging ' ... ... . Order 3.-Diseases of the Respira·

tory System : Total, Class V.

Bronchitis ... ... 8 8 ... ... Total of all Classes -Average daily numerical strength of establishment

Number of cases of sickness per ce.nt. of ditto ...

Number of deatha per cent. of ditto ...

RE·MARKB.

None of the cases in any of the classes require special notice.

... ...

...

...

...

87

189·65 2•29

8 4 ... .. . 6 9 ... ...

' . 2 '1 2 lOO·

---16 5 ... .. .

--·.-- ---·-1651 1 I 2 I 1·2

THOMAS MoGRATR, M.D •

•

17

BALLARAT GAOL.

RETURN of Diseases and Deaths at the. Ballarat Gaol, during the Year 1873.

Diseases.

CLASS I.-ZYMOTIC DISEASES.

Order I.-Miasmatic Diseases: Quinsy ... ... Carbuncle, boil, &c. Influenza ... Dysentery Diarrhooa ••. Rheumatism Parotitis ...

Order 2.-Euthetic Diseases: Syphilis ... · .. . Gonorrhooa .. .

Order 3.-Dietic Diseases: Delirium Tremens ...

Total, Class I.

CLASS II.-CONSTITUTIONAL DISEASES.


I -o i

Days.

2 4 3 6 4 0

13 5 9 6 9 10 2 11

1 23 10 10

i

. .. i---;_7_,_·_··-1--:-.. ·-·

... 70 7 . ---- --·,---11

H!llmoptysis .. • ... 1 14 ... . .. __ j ____ , __ _

CLASS III.-Loc..u. DrSEA.SES. continued.

Dyspepsia .. : Gastralgia ... Hepatitis •••

Order o.-Diseasea of the Urinary Organs:

Nephritis ...

Order 6.-Diseases of tlte Integu.-mentary System :

Whitlow ... ... . •. Ulcer .•• ... . .. Prurigo, Eczema, and Acne ...

Total, Class Ill.-

CLASS IV.-DEVELOPMENTAL DISEASES.

Order 2.-Diseases of Adults: Paramenia •••

Order 4.-Diseases of Nutrition:

Days.

4 10 1 6

- 4 13

l 120

1 7 4 22 3 37

45 13 3 6·6 ------

0 12

Total, Class II. Debility .. : ... ... i !---·--1.--

1 H 0 22 ·------~--,---

CLASS ill.-LoCAL DISEA.SES.

Order 1.-Diseases of the Nervous System:

Paralysis ••• Epilepsy Conjunctivitis Corneitis ...

Order 8.-Diseases of the Respira-tory. Organs :

Bronchitis, .. Pneumonia Epistaxis ...

Order 4.-Disea.aes of the Digestive

1 1 8 1

10 1 1

6 3

11 29

7 7 3

lOO·

lOO·

Total, Class IV.

Cuss V.-VIoLENOE.

Order I.-Accident or Negligence : Fractures ... .,. . .. Contusions .. • • .. Wounds (Gunshot)... ... Poison (Lead) ••• . ..

Ot·der 4.-Suicide : Wound (Cut throat)

Order 6.-Ezecution: Hanging •••

10 17

1 7 3 8 3 0 1 1 69

lOO·

.,.

1 112 ... ..,

1 i l 1 lOO· --.-'--1---Organs:

Enteritis ... ... ... 7 1 1

12 10

6

... Total, Clasa V. ... 10 • 18 : 2 20·

. ... 186[wT7 s·1 Peritonitis... •• • .. • roo· Ileus .•• ... • ••

Average daily numerical strength of establishment ... Number of cases of sickness per cent. of ditto


REMARKS.

Total of all Clasaes

The average amount of sickness for this year is about the same as for last year.

75 181·88

6•66

There have been four fatal cases :-One from fractut•e of the knee of an infant, who had received the injury from a fall

from its drunken mother's arms, previous to admission to the gaol: Another was that of a Chinese, who was admitted to the

gaol suffering from extensive and neglected pneumonia. '£he third occurred to another Chinese, suffering. from peritonitis,

caused by abscess of the kidneys, before admission to the gaol: The fourth death Wi\8 cau~ed by congestion of the brain, ensuing on para)ysi&, from which he was suffering on admission.

There was one execution. :)liCHARD BUNCE,

Surgeon,

No, 15.

18

SANDHURST GAOL.

RETURN of Diseases and Deaths at the Sandhur~t Ga9I, during the Year 1873.

~i:Hsen.scs.

'CLASS. 1.:-ZniOTIC DISEASES.

Order I.-Miasmatic Diseases:

Cynanche .:. Erysipelas Carbuncle, Boil, &c. Influenza, Coryza, Catarrh Dysentery Diarrhffia ... I~heumatisrii Others.

Order 2.-Enthetic Diseases :

Spyhilis .•. Gon<;>rrhma, Stricture

Order 3.-Dietic Diseases:

Alcoholism Opium Smoking


Iiydatids ... : Worms Ascarides ... '

T_otal, Class ~-

CLASS II.-CoNSTITU1.'IONAL DISEASES. .

Order 2.~Tubercular Diseases:

Scrofula Phthisis

Total, Claos 11.

CLASS III.-LOOAL DISEASES.

Order 1:-Disease:~ of Nervous System:

Insanity •.. Epilepsy Paralysis -~ .. Neuralgia ... Ophthalmia Others ··

Order 2.-Diseases of Organs of Circulation :

Heart Disease Others

= "S 0

... 0 ~ ...

"'""' d ... 0 "' .o.S A~ .0

s·" 8 . =~ "0 =<l io<;E-< to.= ~~ _., e~ .E~ "'"' .SA Od ~~ o ... E-<0 E-<o

----

- 0 Days.

6 0 5 1 3 2 5 5 6

33 5 . 4 6

16 7 ·a ·6

10 9 12 11

26. 3 1 4

2 '3 .1 • I .... . 5 3 ... .

127 .. 5 .•••

3 'I

7. 1 .

~.0 ="' "'~ og ...... o>E-< "'-oo "'"' !9~ dO

A~ ---

-·---·------4 . 5

6 5 1 7 1 26' 4 3 2 12 '2 4

2 10 2 3

Diseases.

CLASS ill.-LOOAL DISEASES. continued.

Order 4.-Diseases of Digestive Organs:

Hromorrhoids Hernia Stomach Disease, including

Dyspepsia

Order 5.-Diseases of Urinary .Orgdns:

Retention of U rinc ... Dvsui·ia . H.rematuri'a Leucorrhmn

Order G.-Diseases of Organs of Generation :

Menorrhagia· ,J

Order B.-Diseases of Integumentary System·:

Ulcer Skin Diseases Others

Total, Class Ill.

CLASS IV.-DEVELOPMENTAL . DISEASHS.

Order 2~-Diseases of Adults:

Childbirth

Total, Class IV.

CL,ASS V.-VIOLENCE,

·Order 1.-Accidentt o,r Negligence.

Fractures and Contusions Burns Wounds ...

Ordct• 4.-Suicide:

Cut throat.

... = 0 ~ ... 0

"'"' ... 0 .o"' A~ sil ""' ,o ~~ "'-" _., do

.&ri "" Od ~~ E-<0 --

Days.

6' 9 2 5

16 3

1 1 1 2

7 3 1

2 1-5

6 3

2.

6 9 2

66 6

8

1 8

7 13 1 18 1 2

l 3

~:s ... " B·~ .0

So~ [i)~

~~ "'""' "'"' ,0:00

.SA ~~ 0~ E-<o At> -- ---

~ .. .

1'" 14•28

Order 3.-Diseases of Respiratory System: Total, Class V. 10 11 IO·O

Bronchitis ••• Asthma Pneumonia

....... 2 2 2 4 1 15

'l'otnl of all Class

* Conttisi~~s _caused by cart-wheel passi~g 'over the ·neck

. ' I Average daily numerical strength of establishment

Number of cases of sickness per cent. of ditto · ...

Number of deaths per cent, of ditto

208

so 260

1-25

6 1. 0·48

JOHN CRUIKSHANI\, M.D:

19

BEECHWORTH GAOL.

RETURN of Diseases and Deaths at the Beechworth Gaol, during the Year '1873. . . . .

;

D!SC!ISeS,

--·

CLASs I.-ZntoTIC DISEASES.

Order I.-Miasmatic Disea_ses:

Ophthalmia (purulent) Influenza and Catarrh

.DyRentery ... Diarrhrea .•• ... Rheumatism ... Furunculus ...

Order 2.-Enthetic Diseases:

Gonorrhma . . . ; Order 3.-Dietic Diseases:

Alcoholism Effects of Opiu~ ...


\Vorms ... ... Total, Class I.

CLASS !I.-CONSTITUTIONAL DISEASES.

... ... . .. . .. . .. . ..

...

... ...

. .. I

'l:i 0 '<5 .;._;

2~ e~ ... ~"' <3iJ " ,o .c

"" A-" s ...... ~" C)~ z. ~~ "'" ZE--1 ~! b.O<l-1' !I) _,

i~gl~i .Slil _ .. ~~ Od

80 <1·:::: i r.A· ------Days.

1 10 ... . .. 17 3 ... ... 8 5 1 12·5 7 5 ... . ..

12 2 ... ... 1 1 ... .. .

2 17 ... ... .

2 3 ... . .. 2 5 ... .. .

) I

3 2 ... . .. 55 4 1 1·81

----j-:-

I

I

.

D!~enses.

..

CLASS III.-LocAL 'DISEASEs-contiltued.

Order 8.-Diseases mentary System:

of the Integu-

' Psoriasis ... . .. ...

'fotal, Cla~ Ill . . ..

Cuss IV.-DEVELOPMENTAL DISEASES.

. Order 2.-Developmental Diseases of Adults:

Amenorrhma ... ... Menorrhagia ... ...

Order 4.-Diseases of Nutrition:

Debility ... . .. Convalescence after Parturition

Total, Class IV.

'l:i .. .... •"' "'"" Ee .c" e'il ".c

""" ,e g;,!l 1<;8

~ ~ eo ..., "= '0:1 ?o

80 -«;:;:; -----

Days.

i 2 6

----10, i

--

I I

8 1

6

3 --

2 8

7 8

<: i:lli i;J <>-

O" .c ... ~;; 8 "'8 " :ill zo:n -;;-5 "'"' g8 ~" "'" 8A A'<S -----

... ... --1·--... ... ----

... . .. ... ...

I 1 1 , 12 ... . •.

Order .1.-Diathethic Diseases: __ , _____ _

Scrofulous Abscess over Orbit

Total, Class It --1-,-,-... I 1 I 12 .. • I • .-. i

CLAss v.-VmLENoE.

--j--,,-1-

CLAss III.-LoOAL DisEASEs. Order 1.-Accident or Negligence:

Order 2.-Diseases of Organs of Circulation :

Valvular Disease of Heart ...

Order 3.-Diseases of the Respiratory System :

Pleuritis ...

Order 4.-Diseases of the Digestive Organ1:

Hernia (Inguinal) ... Dyspepsia ... Hremorrhoids Constipation

1 1 ... 3 1 ... I 1 ... 1 I ...

Fractures anu Contusions Wounds ... ...

-Order 2.-Wounds in Battle:

After effects of !!'logging

Order 5,-Ea:ecution:

Hanging ... . .. ... ':l'otal, Class V. ... ... ... . .Total of all Classes

Average daily ntimerical strength of establishment

Cases of sickness per cent. of daily strength of establishment ditto Deaths per cent. of ditto

REMARKS.

... 3 . .. 6

... 2

I

... 2 --. .. 13

---. .. 85

48 177·08

6•25

9 5

2

I --

4

--4

Ah Sen, supposed to be upwards of 60 years of age, died from dysenteay and debility, an·d mental infirmity. Two males were executed. ·

Two males were flogged. .

No epidemie in the g11ol during the year.

... . .. . .. . ..

... .. .

2 IOO·O ----

2 15-4

----3 3·53

W. A. DOBBYN, 1\I.R.C.S., Engl.

l\lcdical Officer,

20

VICTORIAN ARTILLERY CORPS.

RETURN of Diseases and Deaths in the Victorian Artillery Corps,· during the Year 18_73.

Diseases.

CLASS J.-ZrMOTIO DISEASES.

Order 1.-Miasmatir: Diseases :

Scarlatina ... ... Diphtheria ... Cynanche TonRillaris F~ycr (Fe9ricula) ... B01l .... ... Influenza ... . .. ' Dysent.ery ..... Diarrhrea ...

.Rheumatis;;; ... -Order 2.-E~th,etic Diseases:

Syphilis ... Gonorrhren ...

Total, Class I.

CLASS Il.- CONSTITU'l'IONAL DISEASES.

Order I.-Diathetic Diseases:

Tumour ...


Phthisis ... ... Abscess ... . ..

!'otai, Class II.

CL.A.SS Ill-LocAL DISEASES.

'

... ... ~ ... ... . ..

...

. .. ... ...

... ...

...


Otitis ••• Hemicrania

~ '0 '0 ~.0 .... " ;.s

""' ~~ " c.:~ a~ .Q

s :>!:: ~0 " !"' ZE-< "'"' ~ai .,ill _,_

~~!S~' -"'"' .s~

_, ~0

~rj !1~:~A ~'0

D;:.ys.1-

2 15 ... . .. I 26 ... . ..

25 4 ... . .. 2 4 ... . .. 7 2 ... . ..

31 4 . .. ... 3 12 ... . ..

16 2 ... .. . ll 2 ... . ..

I 5 22 ... ... 7 57 .•• i . ..

---llO I. 8 ... i ...

•. ----------

I

1 17

l 24 6 2

--8 6

---·--

2 1

8 8

... . .. I I

l · lOO

···I ... i ' I

12•5

I

'•••

::

Order 6.-Diseases of the Organs . of Generation : .

Orchitis ... ... .. .

Order B.-Diseases of the lntegu· mentary System :

Onychia ... ... . .. Phlegmon ... ...

Total, Class III.

CLASS 'v.-VIOLENOB.

Order I.-Accident or Negligence :

Contusions Wounds ... Sprain ...

Total, Class V.


2 18 ... ...

I

I 2 3 : .•• .. .

12 9 ... ... 34 7 I '" ...

----------

• 7 · 7 I ... 15 18 I ••• .., s 5 I' ••. 1 ...

----.-~--

;30 9 i ... • • •• ... -:--,1-1 1-:-~------------------~----~----~--~--------~------------~--~--

Average daily strength of the battery Number of cases of sickness pet• cent, of ditto Number of deaths per cent. of ditto

REMARKS.

142 128•17

0'70

The health of the Artillery Corps has been on the whole good. The cases were slight and of short duration, and such as might be expected. . ·

One very severe case of diphtheria occurred, which resulted in complete l'ecovel·y. In the Barracks Hospital there was one 'death, that of a member of the old" Royal Artillery" who had .been taken into

the Colonial Corps. In this case, symptoms of phthisis had developed themselves in October 1872, and the man was removed to the Alfred Hospital for purer air. After six month's tl·eatmentin that iustitutiou he· was. discharged incut·able on the 30th April, and died twenty-four days afterwards. ·

l3y Authority: JOHN Ft>~tltEB, Government Printer, Melbourne.

'1'. I!'. MoGAURAN, Medical Officer.

chief medical officer. - parliament of victoria · chief medical officer. return of diseases· in...

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