HH62/1/DUNBAR/7

Transcription

[Page] 6

-- PAGE.
Bye-laws (continued) -
Houses let in Lodgings, -- 40
Common Lodging-houses, -- 41
Piggeries, -- 41
Organisation of Public Health Department, -- 37
Hospital Accommodation, -- 42
4. An Account of the Inspections of Bakehouses and of
any Proceedings taken with regard to them, -- 41
5. An Account of the Supervision exercised over Hospitals
belonging to the Local Authority, or to which the
Local Authority are entitled to send patients.
Dunbarton Fever Hospital, -- 42
Helensburgh Fever Hospital, -- 43
6. A Summary of the action taken to prevent the Out-
break and Spread of Infectious Disease.
Western District -
Typhus Fever in Vale of Leven, -- 47
Scarlet Fever, -- 51
Diphtheria, -- 52
Eastern District -
Diphtheria, -- 54
Scarlet Fever, -- 54
Enteric Fever, -- 57
Erysipelas, -- 59
Puerperal Fever, -- 60
Measles, -- 60
7. A Statement of the Causes, Origin, and Distribution of
diseases within the Districts, and the extent to which
the same have depended on or been influenced by
conditions capable of removal or mitigation.
Vital Statistics -
Birth-rate of County, 1880-89, -- 61
Death-rate of County, 1880-89, -- 63
Death-rate of Registration Districts, 1880-89, -- 65
Deaths from certain causes in Small-town
Districts, and Rural Districts of County,
1885-89, -- 69
Infant Mortality, 1885-89, -- 79
8. A Tabular Statement of the Sickness and Mortality
within the Districts in 1891, -- 80

REPORT.

My work as medical officer to the counties of Stirling and Dun-
barton, and to the five Districts of which they are composed, began
on 16th March last. To a very great extent it has been both pre-
liminary and fragmentary, consisting of enquiries as to the general
sanitary condition and needs of the wide area of the two
counties, stretching across the centre of Scotland from the
Firth of Forth to the Firth of Clyde - these inquiries being car-
ried on in the intervals between the fulfilment of the various
administrative duties that have fallen to be attended to in one or
another part of the Districts. My first Report must of necessity
partake of the preliminary and fragmentary character of the work.
It treats of many matters that will not have to be dealt with at
any great length in future reports, and it passes over other
questions that I have not yet been able to take up. The great
bulk of my time has been occupied in the organisation of the
Public Health Department, in questions relating to hospital accom-
modation, in visiting houses and villages with reference to the
occurrence of infectious disease, in the preparation of bye-laws,
and in attending numerous meetings of District Committees and
Sub-Committees.
The services of the local Medical Officers and Sanitary Inspectors
were dispensed with as from 24th August last. But Mr. Sewell,
the former Inspector for the parish of West Kilpatrick, continued
for some time longer to report on infectious diseases notified in his
neighbourhood. And during outbreaks of typhus fever in Renton
and Alexandria, I called in the aid of Drs. Mitchell and McLelland.
With these exceptions my assistance in the County has been