HH62/2/RENFRE/1

Transcription

[Page] iv.

APPENDIX TO PART I.

Table I. - Analysis of census returns, First District.
Table II. - Analysis of census returns, Second District.
Table III. - Death-rates, First District, 1881-90.
Table IV. - Death-rates, Second District, 1881-90.
Table V. - Mean Villatic and Landward Death-rates, 1881-90.
Table VI. - Mean Death-rates of Villages and Landward Sections, 1881-90,
First District.
Table VII. - Mean Death-rates of Villages and Landward Sections,
1881-90, Second District.
Table VIII. - Abstract of Meteorological Observations, Paisley Obser-
vatory, 1891.

PART II.

THE DISTRICTS.

-- PAGE
Vital statistics of the First or Upper District, 1891, -- 82
Vital statistics of the Second or Lower District, 1891, -- 84
Tabular statement of Sickness and Mortality, in the First and Second
Districts, in the year 1891, as required by the regulations of the
Board of Supervision.

TO THE MEMBERS OF THE COUNTY COUNCIL AND
DISTRICT COMMITTEES.

GENTLEMEN, - In accordance with the requirements of the Local
Government Act and the Regulations of the Board of Supervision, I
have the honour to place in your hands the First Annual Report
upon the Health and Sanitary Condition of the County.
I have considered it advisable, in this first Report, to enter with
considerable fulness into the general circumstances of the County in
so far as they have any relation to the public health, and to describe,
perhaps with some tediousness of detail, the working of the County
Health Department, - this with a view to placing the Members of the
County Council and the District Committees in a position to exercise
an intelligent control over the public health administration of the
County. In order the better to attain this end, and with a view to
avoiding wearisome iteration, I have endeavoured, while treating of the
sanitary circumstances of the districts under the headings prescribed
by the Board of Supervision, to group the circumstances of the two
districts under common headings. This method has the advantage
of obviating the necessity for repeating over again observations which
apply with equal force to both districts, and of bringing the experi-
ence of the whole county, in each department of sanitary work, to a
common point of vision.
The position of a County Medical Officer in Scotland is widely dif-
ferent from that of a County Medical Officer in England. In the lat-
ter case the Medical Officer is a purely advisatory official, exercising,
for the purposes of the County Council, a general supervision over
the sanitary administration of all the towns in the county with popu-
lations under 50,000, as well as of the rural districts, and reporting
thereon to the County Council. In Scotland only the Police (practi-
cally, the smaller) Burghs come in any degree within the purview of
the County Council, and even in their case their relation to the
County Council has been left entirely undefined. The County Medi-