Part 10

In the month of June, 1888, there were 1,513 deaths, the rate of mortality being 23.78 in every 1,000 of the population.

The number of births reported was 937 The number of marriages reported was 531 The number of still-births reported was 113

The mortality by classes and by certain of the more important diseases was as follows:

_Causes_:

1. Zymotic 434 2. Constitutional 251 3. Local 644 4. Developmental 121 5. Violence 63 Measles 6 Croup 8 Diphtheria 82 Scarlet Fever 45 Typhoid Fever ——— Whooping Cough 5 Malarial Diseases 4 Diarrhœal Diseases (all ages) 244 Diarrhœal Diseases (under 5 years) 233 Phthisis 137 Bronchitis 45 Pneumonia 80 All Respiratory Diseases 149 Bright’s Diseases 35 Puerperal Diseases 17 Old Age 17 Suicide 10

Reported cases:

Diphtheria 214 Scarlet Fever 255 Measles 128 Typhoid Fever ———

During the month 13 cases of small-pox were reported, of which number 13 were confirmed as small-pox. 13 cases of small-pox were sent to hospital. No deaths from small-pox occurred in the city and 2 in the hospital.

Deaths by sex, color, and social condition were as follows:

Male 846 Female 667 White —— Colored 21 Native 1102 Foreign 411 Married 328 Single 1006 Widows, Widowers, and not stated 179

Still-births (excluded from list of deaths) were as follows:

Males 60 Females 53 Total 113 Deaths in public institutions 115 Deaths in tenement houses 745 Inquest cases 156 Homicides ——— Suicides 10

_Age Periods_:

Deaths under 1 year 496 Deaths under 5 years 253 Total deaths under 5 years 749 Total deaths 5 to 20 126 Total deaths 20 to 40 223 Total deaths 40 to 60 233 Total deaths 60 and upwards 182

Certain foreign and American cities show the following death-rate for the month of June:

Brooklyn 23.78 New York 26.86 Philadelphia 18.98 Berlin 19.40 Dublin 23.58 Vienna 31.50 Paris 21.68 London 16.10 Glasgow 22.98

NEW INSTRUMENTS.

This is a bulletin of inventions and improvements of interest to the physician and surgeon, and is published quarterly by Leach and Greene, Boston, Mass. It is mailed free to any address.

ANTIFEBRINE.

Antifebrine as a proprietary name is controlled by patents, and when bought under this name it costs about thirty cents per ounce. The name acetanilide, for exactly the same substance, is not and cannot be controlled in any way, and under this name it can be bought for about fifteen cents per ounce. As acetanilide is about one-eighth the price of antipyrine, and effective in half the dose, it is far more economical to the patient.—_Pittsburgh Medical Review._

ENEMA LESIONS.

“Dr. Achilles Nordmann, of Basle,” says the _Lancet_, “has published a description of twenty-five bowel lesions due to the operation of administering enemata. They include three complete perforations and ulcers, and wounds of various depths and sizes. The causes of these lesions seem to have been the use of defective instruments, ignorance of the direction of the rectum, catching of the transverse fold on the tube, extreme irritation of the mucous membrane of the bowel, and obstructions caused by certain conditions of the uterus, the fœtal head, or an enlarged prostate. As a rule, these lesions are to be found on the anterior wall of the rectum, from one to seven centimetres from the anus. They are not always easy to diagnose, as other foreign bodies or caustics may produce similar appearances. Tubercular and hæmorrhoidal ulcers may be mistaken for them; these are, however, generally higher up. A perforating wound gives rise to paraproctitis, but this is not necessarily fatal, though a stricture generally results.”—_N. Y. Medical Journal._

TRANSCRIBER’S NOTES

1. Silently corrected typographical errors and variations in spelling. 2. Anachronistic, non-standard, and uncertain spellings retained as printed. 3. Enclosed italics font in _underscores_.