Page:Transactions of the Provincial Medical and Surgical Association, volume 4.djvu/240

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138
MEDICAL TOPOGRAPHY OF MALVERN,

the ages of 1 year and 32, and 3 more from acute inflammatory disease of the brain and its meninges between the ages of 13 and 16. The results are exhibited in the following table:


Number of persons at the following respective age dying in the practice of the Malvern Dispensary, in four years.[1]
Birth to 10 10 to 20 20 to 30 30 to 40 40 to 50 50 to 60 60 to 70 70 to 80 80 to 90
8 8 4 4 1 4 1 3 0

Bronchocele is common in Worcestershire, and many cases are witnessed in the district around Malvern. In some females the diseased gland grows to a large size without producing any, or only trifling inconvenience—a little difficulty of breathing in walking up hill. Persons afflicted with this unsightly complaint, are chiefly, but not universally, females: in one or two instances I have observed male children born with a decided fullness and enlargement of the thyroid gland. Very few of the common people use any remedy for it.

Bronchocele is not confined to the peasantry, a tendency to the disease often shewing itself in young females in the middle and higher classes: these generally, have recourse to medical treatment. Iodine, given internally, and used externally in the form of ointment, usually reduces the incipient enlargement: it is, however, liable to recur.

  1. This table embraces too short a period to a period more than a corroboration of the previous statistical results. I may state that, occasionally, very young children, and, I believe, often very old people, die, medical assistance never having been asked for them.