wales and western counties

1
744 R. B. Wild to the Leech Professorship of Materia Medica and Therapeutics was confirmed. The Port oj Mane7tester. A meeting of the Manchester Port Sanitary Authority was held on March 4th. The medical officer’s report showed an absence of serious sickness on the 93 vessels . which had entered the port since the last meeting. Dr. J. H. Crocker is leaving for Richmond, where he has been appointed medical officer of health, and his resignation has been accepted with regret. In this, his final report, he says that he " had never felt quite sure that some cases of plague or small-pox might not escape him owing to his inability to be present at the arrival of every vessel." Fortunately, no case of plague has escaped him, and, indeed, a most assiduous watch has been kept up. He stated that it was advisable to appoint a medical officer who should devote the whole of his time to port sanitary work, and as his time would be fully occupied at Manchester it would be necessary to arrange for deputies at other parts of the port. Rats were mentioned as a great source of danger, and it was suggested that the ships should be kept four or six feet from the quay and the ropes guarded to prevent the rodents from swarming upon them. In all ships the rats should be exterminated and in the warehouses, too. After some discussion it was agreed " to advertise for a medical officer to devote his whole time to the work outlined in the report, the salary to be Z350 a year." This gentleman must, of course, be well qualified, must have a diploma in public health, and must be always on the alert, for his responsibilities will be great and constantly increasing with the increase of traffic, so that the salary proposed does not err on the side of liberality. March 6th. WALES AND WESTERN COUNTIES. (FROM OUR OWN CORRESPONDENTS.) Cardiff Infirmary Local Public Spirit. THE annual meeting of the supporters of the Cardiff Infirmary has of late years been a gathering at which the single story has been told of increasing expenditure and lessening income with the natural accompaniment of a standing debt mounting higher and higher. Year after year suggestions have been made for lessening the expendi- ture or for increasing the income of the institution. Wards have been closed and small economies have been effected, while bazaars, balls, and concerts have been organised for the purpose of reducing the adverse balance. In spite, how- ever, of every effort the amount of indebtedness increased until at the beginning of the year 1900 it stood at £10,700 and although there was an increased income during the year of .B825 and a decreased expenditure of £612 the executive committee managed to spend e633 more than they received. At the end of 1900, therefore, the standing debt was .611,333. The decrease in the expenses is attributed to the closing of the special gynaecological wards which contained 30 beds and were opened three years ago. The reduc- tion of the number of beds in the infirmary constantly available from 150 in 1899 to 120 in 1900 is said to account for the increase in the annual cost per bed from .B54 5s. in the former year to .663 15s. in the latter. It had long been felt that only by a great effort, and one which was supported by the leading men in the town, could the institution be cleared of its incubus, so that when the newly elected mayor (Mr. T. Andrews) announced on Nov. 9th last that he was determined to wipe out the debt brighter prospects seemed in store. Although subscriptions, some of considerable sums, came in rapidly in response to the mayor’s appeal it is doubtful if he could so speedily have achieved his purpose without the assistance of one of the Cardiff daily papers, the Western Mail, the managers of which inaugurated a ’’ shilling fund" and placed at the head of it their own munificent subscription of 500 guineas. In a little over three months, at the annual meeting on Feb. 27th, the mayor was able to hand over a cheque for .611,272, a sum which was practically sufficient to extinguish the debt and which included .B5697 sent to the mayor’s fund, .B5375 sent to the Western Mail, and Z200 sent to a fund established by the Mayor of Oowbridge, a small town which is joined to Cardiff for Parliamentary purposes. Refuse Destructors. The large towns in South Wales have been slow to adopt the methods of refuse destruction which have for many years been employed in other parts of the United Kingdom, notably in the manufacturing towns of the north of England. At Cardiff, at Swansea, and at Mertbyr house refuse is still carted out to large "tips" " in the suburbs of those towns. In the Rhondda valley there is approaching completion a destructor of the type known as "Mason’s gasifier," which appears to have recommended itself to the sanitary authority in consequence of the small chimney which is required, a factor that can be appreciated in those localities where the refuse to be destroyed cannot readily be brought to a central depot, but has to be dealt with in different parts of the district. At Barry a destructor was formally started on Feb. 27th and is actually the first to be erected in South Wales. It is of the Beaman and Deas type and consists of two cells which are said to be capable of burning 30 tons of refuse per day of 24 hours. The entire cost of the installation is £7500. Pembrokeshire and Haverfordwest Infirmary. The annual report of this institution states that during the year 1900 there were treated 99 in-patients and 673 out- patients at a cost of .6869. The total income for the year from interest upon investments and from subscriptions amounted to £860. It is anticipated that the alterations in the drainage, &c., which are now being carried out will be completed and will permit of the wards being reoccupied by the beginning of May. The Medical Officers of Health of Haverford7vest. Mr. George Griffith has resigned his appointment as one of the four medical officers of health for the Haverfordwest rural district. The population of the whole district is about 32,000 and the area 160,000 acres. Each of the medical officers of health receives a salary of £20 per annum. Public Health Labortory at Cardiff , The Cardiff and County Public Health Laboratory has been established nearly three years, and the increasing usefulness of the undertaking is demonstrated in the report of the bacteriologist (Dr. W. G. Savage) for the year 1900. Three suspected cases of plague were bacteriologically investigated during the year-two with a positive and one with a negative result. For suspected diphtheria 243 specimens were examined and in 72 instances Klebs-L6ffler bacilli were found ; Widal’s reaction occurred in 73 specimens examined and tubercle bacilli were demonstrated in 36 of the 86 specimens of sputum examined. There were bacteriologically examined 119 samples of wa’er and 198 additional samples were submitted to chemical examination. A small fee is paid by medical practitioners or medical officers of health who forward material for bacteriological examination. but all samples of water sent by medical officers of health within the administrative county are examined both bacteriologically and chemically free of charge. Royal West of England Sanatorium, Weston-super-Mare. The annual meeting of the subscribers of this institution was held on Feb. 23rd. The medical report stated that 2120 patients had been admitted during 1900-an increase of three as compared with the previous year. 8462 hot and cold sea-water baths had been given and had afforded much relief in rheumatism. The financial statement showed that the total income for the year was Z3788 and that the expenditure amounted to £3471. Mr. F. J. Fry was re-elected president. Exeter Dispensary. The annual meeting of the governors of this institution was held on Feb. 23rd. The medical report stated that 5571 patients had been treated during 1900, against 6256 in 1899. The financial statement showed a favourable balance of £212. The chairman (Mr. S. Ward) said that by a rule of the dis- pensary members of clubs who were entitled to medical treatment and medicine were not eligible as patients. March 5th. SCOTLAND. (FROM OUR OWN CORRESPONDENTS.) Small-pox in Edinburgh. As was to be expected several fresh cases of small-pox have shown themselves in Edinburgh. At the date of

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744

R. B. Wild to the Leech Professorship of Materia Medicaand Therapeutics was confirmed.

The Port oj Mane7tester.A meeting of the Manchester Port Sanitary Authority

was held on March 4th. The medical officer’s reportshowed an absence of serious sickness on the 93 vessels. which had entered the port since the last meeting. Dr.J. H. Crocker is leaving for Richmond, where he has beenappointed medical officer of health, and his resignation hasbeen accepted with regret. In this, his final report,he says that he " had never felt quite sure that somecases of plague or small-pox might not escape him

owing to his inability to be present at the arrival of everyvessel." Fortunately, no case of plague has escaped him,and, indeed, a most assiduous watch has been kept up. Hestated that it was advisable to appoint a medical officer whoshould devote the whole of his time to port sanitary work,and as his time would be fully occupied at Manchester itwould be necessary to arrange for deputies at other

parts of the port. Rats were mentioned as a greatsource of danger, and it was suggested that the shipsshould be kept four or six feet from the quay and the ropesguarded to prevent the rodents from swarming upon them.In all ships the rats should be exterminated and in thewarehouses, too. After some discussion it was agreed" to advertise for a medical officer to devote his whole timeto the work outlined in the report, the salary to be Z350 ayear." This gentleman must, of course, be well qualified,must have a diploma in public health, and must be always onthe alert, for his responsibilities will be great and constantlyincreasing with the increase of traffic, so that the salaryproposed does not err on the side of liberality.March 6th.

WALES AND WESTERN COUNTIES.(FROM OUR OWN CORRESPONDENTS.)

Cardiff Infirmary Local Public Spirit.THE annual meeting of the supporters of the Cardiff

Infirmary has of late years been a gathering at which thesingle story has been told of increasing expenditure andlessening income with the natural accompaniment of a

standing debt mounting higher and higher. Year afteryear suggestions have been made for lessening the expendi-ture or for increasing the income of the institution. Wardshave been closed and small economies have been effected,while bazaars, balls, and concerts have been organised forthe purpose of reducing the adverse balance. In spite, how-ever, of every effort the amount of indebtedness increaseduntil at the beginning of the year 1900 it stood at £10,700and although there was an increased income during the yearof .B825 and a decreased expenditure of £612 the executivecommittee managed to spend e633 more than they received.At the end of 1900, therefore, the standing debt was .611,333.The decrease in the expenses is attributed to the closingof the special gynaecological wards which contained30 beds and were opened three years ago. The reduc-tion of the number of beds in the infirmary constantlyavailable from 150 in 1899 to 120 in 1900 is said toaccount for the increase in the annual cost per bedfrom .B54 5s. in the former year to .663 15s. in the latter.It had long been felt that only by a great effort, and onewhich was supported by the leading men in the town, couldthe institution be cleared of its incubus, so that when thenewly elected mayor (Mr. T. Andrews) announced on

Nov. 9th last that he was determined to wipe out the debtbrighter prospects seemed in store. Although subscriptions,some of considerable sums, came in rapidly in response tothe mayor’s appeal it is doubtful if he could so speedily haveachieved his purpose without the assistance of one of theCardiff daily papers, the Western Mail, the managers ofwhich inaugurated a ’’ shilling fund" and placed at thehead of it their own munificent subscription of 500guineas. In a little over three months, at the annual

meeting on Feb. 27th, the mayor was able to hand over acheque for .611,272, a sum which was practically sufficientto extinguish the debt and which included .B5697 sent to themayor’s fund, .B5375 sent to the Western Mail, and Z200sent to a fund established by the Mayor of Oowbridge, asmall town which is joined to Cardiff for Parliamentarypurposes.

Refuse Destructors.The large towns in South Wales have been slow to adopt

the methods of refuse destruction which have for manyyears been employed in other parts of the United Kingdom,notably in the manufacturing towns of the north ofEngland. At Cardiff, at Swansea, and at Mertbyr houserefuse is still carted out to large "tips" " in the suburbs ofthose towns. In the Rhondda valley there is approachingcompletion a destructor of the type known as "Mason’sgasifier," which appears to have recommended itself to thesanitary authority in consequence of the small chimneywhich is required, a factor that can be appreciated in thoselocalities where the refuse to be destroyed cannot readily bebrought to a central depot, but has to be dealt with indifferent parts of the district. At Barry a destructor wasformally started on Feb. 27th and is actually the first to beerected in South Wales. It is of the Beaman and Deas typeand consists of two cells which are said to be capable ofburning 30 tons of refuse per day of 24 hours. The entirecost of the installation is £7500.

Pembrokeshire and Haverfordwest Infirmary.The annual report of this institution states that during the

year 1900 there were treated 99 in-patients and 673 out-

patients at a cost of .6869. The total income for the yearfrom interest upon investments and from subscriptionsamounted to £860. It is anticipated that the alterations inthe drainage, &c., which are now being carried out will becompleted and will permit of the wards being reoccupied bythe beginning of May.

The Medical Officers of Health of Haverford7vest.Mr. George Griffith has resigned his appointment as one

of the four medical officers of health for the Haverfordwestrural district. The population of the whole district is about32,000 and the area 160,000 acres. Each of the medicalofficers of health receives a salary of £20 per annum.

Public Health Labortory at Cardiff, The Cardiff and County Public Health Laboratory has beenestablished nearly three years, and the increasing usefulnessof the undertaking is demonstrated in the report of thebacteriologist (Dr. W. G. Savage) for the year 1900. Three

suspected cases of plague were bacteriologically investigatedduring the year-two with a positive and one with a negativeresult. For suspected diphtheria 243 specimens were

examined and in 72 instances Klebs-L6ffler bacilli werefound ; Widal’s reaction occurred in 73 specimens examinedand tubercle bacilli were demonstrated in 36 of the 86specimens of sputum examined. There were bacteriologicallyexamined 119 samples of wa’er and 198 additional sampleswere submitted to chemical examination. A small fee is

paid by medical practitioners or medical officers of healthwho forward material for bacteriological examination. butall samples of water sent by medical officers of health withinthe administrative county are examined both bacteriologicallyand chemically free of charge.Royal West of England Sanatorium, Weston-super-Mare.The annual meeting of the subscribers of this institution

was held on Feb. 23rd. The medical report stated that 2120patients had been admitted during 1900-an increase ofthree as compared with the previous year. 8462 hot and coldsea-water baths had been given and had afforded much reliefin rheumatism. The financial statement showed that the totalincome for the year was Z3788 and that the expenditureamounted to £3471. Mr. F. J. Fry was re-elected president.

Exeter Dispensary.The annual meeting of the governors of this institution

was held on Feb. 23rd. The medical report stated that 5571patients had been treated during 1900, against 6256 in 1899.The financial statement showed a favourable balance of £212.The chairman (Mr. S. Ward) said that by a rule of the dis-pensary members of clubs who were entitled to medicaltreatment and medicine were not eligible as patients.March 5th.

SCOTLAND.(FROM OUR OWN CORRESPONDENTS.)

Small-pox in Edinburgh.As was to be expected several fresh cases of small-poxhave shown themselves in Edinburgh. At the date of