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necessity contaminate the stream, especially when the water is low, I cannot see that any change in the place of sewage and drainage can be made for the benefit of the institution. But the citizens of Weston and vicinity are to be considered, and if possible some way devised for giving them relief. The place I would suggest for correcting the evil, in part at least, would be to build a settling tank between the Asylum and the river, for the purpose of separating the solid from the fluid excreta. It should be built of brick lined with cement, the top securely covered into this, on one side the sewage from the institution should flow, and from
fectants and deodorizers should be freely used. When the tank is nearly full it might be turned into the river at high water. Respectfully submitted,
T. A. HARRIS,
VITAL AND MORTUARY STATISTICS.
FOR THE YEAR ENDING, JUNE 30, 1888.
Sections of the Health law, Acts of 1887, relating to the collection
of Vital and Mortuary Statistics. Sec. 23. The State Board of Health shall have supervision of the State system of registration of marriages, births and deaths, as hereinafter provided; they shall make up such forms, and recommend such legislation as shall be deemed necessary for the thorough registration of Vital and Mortuary Statistics throughout the State. The Secretary of the Board shall be registrar of Vital Statistics, and he shall make and publish a report of the vital statistics of the State along with his report as Secretary of Board of Health; and for his services as registrar he shall be paid a salary not to exceed five hundred dollars, to be fixed by the Board of Health and to be paid out of the fund provided for the Board of Health.
24, It shall be the duty of all physicians and accoucheurs in this State to register their names and postoffice address with clerk of the county wherein they reside; and said physicians, accoucheurs and accoucheure, shall be required, under a penalty of ten dollars, to be recovered in any court of competent jurisdiction in the State, at the suit of the county clerk to report to the clerk of the county court, within thirty days from the occurrence, all births and deaths which may come under their supervision, with a certificate of the cause of death and such co-relative facts as the Boards may require in the blank forms to be furnished as hereinafter provided, and they shall receive
y court, with which may comeath and sucks
from the county the sum of twenty-five cents for every such report made to the clerk of the county court.
25. When any birth or death shall take place, no physician or accoucheur being present, the same shall be reported to the clerk of the county court within thirty days thereafter, with the supposed cause of death, by the parent, or if none, by the nearest of kin, not a minor, or if none, by the resident house-holder where the birth or death occurred, under the penalty and provisions of Section 24 of this act.
26. Voroners and undertakers of the several counties shall be required to report to the clerks of their county courts all cases of death which may come under their supervision, with the cause and mode of death, etc., as per forms furnished, under the penalty as provided in Section 24 of this act.
27. All ministers of the gospel shall report to the clerk of their county courts all marriages celebrated by them, under the penalty as provided in Section 24 of this act.
28. The county court clerks of all the counties in this State shall be required to keep separate books for the registration of the names and postoffice address of physicians and accoucheurs, for marriages, births and deaths; said bock shall always be open to inspection without fee; and said county clerks shall be required to render a full and complete report of all marriages, births and deaths to the Registrar of Vital Statistics. annually, on the first day of July, and oftener if required; and for his services the clerk of the county court shall receive, from the revenues of the county, two cents for each name reported by him, on a penalty of one hundred dollars for failing to do so.
29. It shall be the duty of the State Board of Health to prepare such forms for the record of the marriages, births and deaths, as they may deem proper; the sa d forms to be furnisbed by the Secretary of said board to the clerks of the county courts, whose duty it shall be to furnish them to such persons as are herein required to make reports.
CAUSES OF DEATH.
In our arrangement of the causes of death, we have placed :
First-Snecific, febrile, or zymotic diseases, embracing the miasmatic diseases, small-pox, varioloid, chicken-pox, measles, scarlet fever, typhus fever, influenza, mumps, diptheria, cerebro spinal fever, whooping cough, continued fever, enteric fever, yellow fever, and other miasmatic diseases; diarrhetic diseases, cholera infaum, cholera morbus, winter cholera, diarrhea and dysentery; malarial diseases, intermittent fever, remitent fever, congestive fever, and other malarial diseases; zoogenous diseases, hydrophobia, etc.; venereal diseases, syphilis, etc.; and siptic diseases, phagedeuer, erysipelas, pyemia, septicemia, and puerperal fever.
Second-Parasitic Diseases--Thrush, hydalids, worms, trichiniosis, etc.
Third-Dietic Diseases—Starvation, scurvy, alcoholism, deli. rium tremens.
Fourth-Constitutional Diseases-Rheumatic fever, rheumatic heart, rheumatism, gout, rickets, cancer, tabes mesenterics, tubercular meningitis, phthisis, scrofula, purpura, anemia, diabetes mellitus, etc.
Fifth- Developmental Diseases-Premature birth, atelectasis, cyanosis, spina bifida, umbilical hemorrhage, &c.
Sixth-Local Diseases-First, of the Nervous System-Inflamation of the brain, apoplexy, softening of brain, hydrocephalous chronic, hemipligia, paralysis agitans, parapiyia, epilepsy, trismus nascintium, tetanus, diseases of spinal cord, &c. CircuTatory System Endocerditis, pericorditis, hypertrophy of heart, angina pectoris, valvular disease of heart, syncope, aneurism, senil gangrene, embolism, phlibitis, &c. Respiratory SystemLaryngitis, croup, embyzema, asthma, bronchitis, pneumonia, pleurisy, &c. Digestive System-Stomatitis, sore throat, dyspepsia, hematemis, melana, enteritis, ilus, stricture and strangulation of intestines, intussusception hernia, peritonitis, accites, cirrho. sis, &c. Urinary System-Nephritis, Bright's disease, uremic, &c. Reproductive Organs-Ovarian disease, diseases of uterus and vagioa, pelvic abcesss, perineal abcess, parturition, abortion, puerperal convulsions, placenta pravic, flooding, &c.
Seventh-Violence, railroad accident, other accidents, homocide, &c.
Eighth-- Unclassified-Dropsy, debility, tumor, abscess, sun stroke, hemorrhage, &c.
The total number of deaths from all causes for the year ending July 1st, 1888, is 2,312, representing returns from thirty-five counties. Nineteen clerks of county courts have failed to make reports of births and deaths, as required by law. Of the thirtyfive reports nearly all are satisfactory, showing on the part of physicians and clerks a commendable effort to carry out the law.
All things considered, we should feel encouraged at the success of our first year's work in the collection of vital statistics.
Of the 2,312 deaths 1,162 were males, 1,137 were females, and in thirteen the sex was not stated. Under the head of miasmatic diseases, we have 267 deaths, or a little over eleven per cent. Typhoid fever stands at the head of this list; eighty cases, or three and a half per cent. Measles, fifty four cases; a little less than two per cent.
Diarrhetic diseases was the cause of death in 153 cases; not quite six per cent. The mortality from these diseases was principally among children, 120 deaths occurring in children under five years. Constitutional diseases are accredited with 388 deaths, or nearly sixteen per cent, phthisis alone causing 274 deaths, or more than eleven per cent. Disease of the nervous system is reported as the cause of death in 232 cases, or ten per cent.
Diseases of the respiratory system stands second in importance in point of numbers, 336 deaths, or fourteen and a half per cent. Of these more than one-half, 143, or eight per cent, was caused by pneumonia. The deaths from diseases of the digestive system was 132, or about five per cent.
For the year covered by this report the sum total of mortality from the zymotic diseases, cerebro-spinal fever, typhus fever, enteric fever, malarial diseases, scarlet fever, measles, erysipelas, whooping cough, diptheria and diarrhæal diseases, which are of special concern to the health authorities, was 330, or 14.25 per cent.
Of the 2,312 deaths reported, 421 occurred within the first year; 710, or thirty per cent., before the age of five years. Twelve deaths are reported in persons over ninety years.