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SANITARY MATTEES IN OAMNAB-I…

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SANITARY MATTEES IN OAMNAB- VONSHIBE. Dr. Fraser, the deputy medical officer of health for the Unrusrvonahire Combioed Sanitary Authoritv, haw just issued his rpol t for the year ending lie, ember last oo the health of the sani- tary district- ot Carnarvonshire,arid ot portion II of the Counties of Anglesey, MenoLeth, and Den. blet). Spe'-kiim ot the d?ct< '"t a whole the total noimlatien in Mid?m?r. 1894. was returned at 163,0o7. DuriM tM ve.r Me number of births re.Metered was 4210, beinit at the rate ot 25-7 p«r l'«HJ of the popn.atioo.lhe birth-rate during J893 was per 1000. The nunoher of deatha registered durtng lsM wafi 2034, being at the rate Of per ICKK) persons living No compare j with -0'7 ) or 1000 J itirittit 1893. Of the dMthB 105 were attributed ti $be principal 7vmot c diseases, being at thereto of l'O per 1000 of the population, usoompared with l o6 vet 10(>0 during 1803. Among infants under one year of aire, there wee 540 deaths, being in the proportion of 130 per 1000 registered births, purine 1803 the infantile mortality w147 per 1000 births. Phthis's was the cause of 290 deathp, or at the rate ot hI er 1000 ot population. The chief lepiratorv diseases, bronchitis, pneumonia, and pleurisy, were the oanse of 3.,3 deaths, being at the rate of 2'3 per 1000 of the popula- tion. The conclusions drawn from these figures WereThe general birth-rate of 1804 was con- siderably lower than that of England and Wales generally and in common with England and Wales ee- orally, was slightly lower than that OftL-epreviolisyeall. The birth-rate in the rural districts shows a g:hht increase al compared with 1803, wlnie that in tfe urban district snows a considerable <i«3reate. The ¡zenerd d.,thTllte ¡ in 1804 was hiifher than the average for England and Wales. It I, howeverrs4tisfActory to find that there is a considcraUetriwerinif in the death- rate in 1804 from that in 1803. The rural rteath- rate shows an improvement; to the extent of 2-0 per 1000 of population, and the uban districts to the exicit ot 3 8 per thousand of population. The zymotic mortality in the rural and urban district, shows a considerable improvement upon that of 1803, and is also a good deal lower than the average of liuplauJ and Wales during 1804. That of tie urban dirfcriets shows the greater amount ot improvement. The infantile mortality during 1604 has al-o improved upon that of 1893, that of the rural d-'stricts to the extent of 14 per 1000 births, .d that of the urban districts to the extent of 25 pe" 1000. In the de itb-rate among pjrsons aged 63 and iipwerlq 10.1894. is seen a lowering upon that of 1893. In the rural districts, the death-rate among this class has slightly (Urease 1, while in the urban districts the dtiieise iN considerable. Ke'e'ririj? specifically to the various towns and districts included in the district of the sanitary authority, Dr. Fraser says :-1 u Carnarvon union the notification rate in 189-1 was 144 per 10,000 of population as compared with 165 per 10 000, which was the rate in 1803. There is no doubt but that in the country villages and populous places of this district, isolation of infectious cases in suitable rooms for a sufficiently long p-nod's not carried out as it should be. The need of a better supply of wholesome water at certain phces named it is to be trusted will receive the early attention of the Dew sanitary authority. In Conway union some of the cottage oroperty seeds seeing to. The chief san't-iry work oi note in the district has be3n the carrying out of the Cowlyl1 water scheme. When comp'eted, it is hoped th-it the populous districts of Penrhynside and L'ysfaen will, on account of havinir an ample supply of w ater, be enabled to be place i in a satisfactory sanitary condition as regards drainage also. In the Festiniog urban sanitary district the number of notifications is at a rate of 322 per 10,000 of population. Although the rate is so exceedingly high in this district, the mortality from infections diseases is actually much below the averase from Eculand and Wales, and also considerably below thezymotio mortality during 1803. The CriccVh district during 1894 was in a more satislactory condition as regards its water supply than during the dry summer of 1803, but the sanitary authority is endeavouring to avoid a repetition of the t-cantiness of supply then experienced by tie adoption of a scheme who-aby an ample supply of wholesome water can be cbtaite 1. In Carnarvon tl a vitil statistics are in every particulir an imoroveme it on 1893. During the year a spee,al effort was made to deal with some of the old dilapidated property in the town, 33 houses t,einz considered unfit for human habi- tation. It for the poorer classes in this town and places similarly cucumstanced, there were pro- vide) sanitary dwellings at a low rental, with a sufficient nuailer ot rooms for cieinlmets and decericv, an-I tinder lobulations to be drawn up by the sanitary authority as provided in the Act, and for these houses to be under the super. vision of a caretaker, who should have charge among other things of a wash-house and baths for the use of the temnts, a great advance would be md,'e towards banishing the squalid slums and (talk spots of the town, and toward* raising this class or the poor and degraded bv educating them into habits of order and cleanliness. It is t) be observed that the birth-rate of the Conway district in 1801 as in 1803 is h gher than that of any o" the Carnarvonshire districts, and has even risen upon that of 1803. The steps which have been takers by the sanitary authority to providea number of houses for work- incroen'8 families under part three of the BOils. ing of the Working CI sses Act, 18X), have been from a public health point of vie* well advsed. During the year tho birth-rate or the L;n- dudno district, as in 1893, was a low one The general de.'th-t< was" !owf)!jp,i<Bdt,howed an imp nvement upon even the low death-rate of 1803. The rooitality from zymotic diseases, and the death.late among nfants and a.>e I persons all showed an improvement upon 18D3. The death-rate irom phtlvsis was about the same rate as tho average in the rest of the county, but tt e inott -litf from the chief lung diseases wasco s derably lower. The supply of water thr<Uih >ut th"» district was good, excepting that ti e inhab tints of the increasing number of hou. on the Oreat Orme's Held have to carry their Ilpply from a conldcrable distance on SCODUU-, 01 the hiwh level at wliieb they are situate t. The need for improviug the house accommodation of the workioll cins-esofthe town has not yet been wet, although, it would appear that the sanitary authority has been alii e tD this i evt, but have trusted to private enter- prise to provide inceased house accommodation. Since the close ot the year, howevc, the authority have decided to provide a numle' of sanitary d. c l.ugs tor workingmei and their families. At Penmaenmawr the elve" sanitary under- 1 iking of the year to be recoided is the carrying of the set e till for obtainiDK a supply of wiater out from the Afon Uyraeh, a mountain stream at a considerable elevation. This wotk has cost Pbotit ;tt)O(X), and has provided an amp's supp'y of xee, din> V pure water, which will no doubt bs sufficient for the needs of the district for a long period of years. The vit 11 statistics of the Colwyn Ray distric for the yetr slow an improvement in every par- t cular upon those of 1803. The birth-rate is slightly higher, and the death-rate shows » very satisfactory lowering. The zvmotic morta'itv and the mortality among infants and aged persons show* a considerable imp-c v.-ment upon the mortality in 1803. The need of a srr a'l infectious diseases hospital has been considerably ft It in tn inz to carry out the requisite preven- tTe measures in these intectious oases during he year.

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