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the number of cases of fever and of measles, the former from 822 to 464 and
the latter from 525 to 80. The very large number of sick who are relieved
by the Medical Officers of the Union may probably be to some extent
accounted for by the migratory character of a considerable number of the
population, and also from the fact that members of the same family obtain
orders for medical relief more than once in the course of the year.
If the same name did not occur more than once in the Medical Officers'
books during the year the number of cases would show that 1 in every 5 of
the population of this district receives medical advice from the Union Medical
Officers.
In addition to the annual visitation of the slaughter-houses and cow-houses,
all the bakehouses have been inspected, and in each case where it was found
necessary to serve an order for the limewhiting of the premises the order on
the second visit was found to have been complied with.
I notice, with regret, the continuance of the dangerous nuisance (which in
one of my former reports I brought before the notice of the Board) arising
from the large quantity of hot water which flows into the sewers from some
of the manufactories in this district. Not only is the escape of the steam
from the ventilating shafts a nuisance to the public, but the fact of so much
hot water being sent into the sewers at irregular periods renders it unsafe for
persons to enter the sewers for the purpose either of examining or cleansing
them. The nuisance arising from the retention of dung in stable yards and
in premises where cows are kept until such dung becomes decomposed is a
subject of complaint. There can be no doubt of the injurious nature of this
nuisance. In order, therefore, to obviate as much as possible the evils arising
from those offensive accumulations the Board have issued printed notices to
all the cowkeepers in the district, to remove from their premises the dung and
other refuse at least three times a week.
In conclusion I take leave to thank the Medical Officers of the Union for
the valuable suggestions they occasionally insert in their returns of sickness
which they make weekly to the Guardians.
I am,
Gentlemen,
Tour obedient Servant,
JOHN LIDDLE.
15, Great Alie Steeet.