1891 December Extracts from the Upper Ward Health Report
(From 1890 onwards, the Medical Officer had to produce an annual report)
Causes of Death from 31st July - 31st December
Membranous Group 2
Erysipelas, also called St. Anthony's fire, is caused by infection by Group A Streptococci.
This same type of bacteria isresponsible for such infections as strep throat, and infections of both surgical and other kinds of the skin.The infection occurs most often in young infants and the elderly.
Scarlet Fever 133 + 9* (Especially bad in October.)
Typhoid Fever 43 +1*
Continued fever 4
Measles (not a compulsory notification) 5
*reported by medical practitioners.
The only hospital was in Lanark. It had 8 beds. The water supply was better than other wards because the Upper ward was mostly agricultural. However Law, Haywood and Wilsontown have sometimes been defective.
The Committee has spent around £3200 on Law’s water supply. Law was a Special Drainage and Water Supply District. Carluke has been constituted a Special Drainage and Water Supply District.
The MO suggests Carluke should consider a tax rate for scavenging and cleansing of streets, yards and ashpits.
The River Clyde was relatively unpolluted and affords good fishing in the Upper Ward.
There had been an outbreak of enteric fever (typhoid) at Carluke and an inspection of the piggeries took place there. This occurred towards the end of the year in the Heather Row, Engine Row, Castlehill and Stewart Street. Some cases, especially in Stewart Street, were of a virulent character. The conditions causing this were of chiefly filthy surroundings, overcrowding, want of means of isolation and of proper disinfectation. Milk and water were tested with negative results. Mr Glen was the Sanitary Inspector.
Recommendation were improvements in dwellings of mining classes, in farm buildings (according to Dairies and Cowsheds Regulations), in ashpit and privy accommodation and in drainage.
From 1891 Census Returns
Carluke had highest proportion of people to the acre.
Acreage 15,345 Population 8058
Under 1 yr = 37; 1-5 yrs = 25; 5-15 yrs = 8; 15-25 yrs = 14; 25 -60 yrs =30; over 60 = 64
Total zymotics (a 19th century term for infectious diseases) =34
Causes of death listed:
Diphtheria = 4 (all under 5 yrs);
Scarlet Fever = 1;
Typhoid/Enteric Fever = 9;
Measles = 4 (all under 5 yrs);
Whooping Cough = 8 (all under 5yrs);
Diahorrea = 8 (under 5 yrs = 6);
Phthisis/Consumption (Tuberculosis) = 9;
Cancer = 6;
Violence = 6;
Violence to under 5 yrs = 1;
Other causes = 122.
Notes on Mortality in Upper Ward.
A total for the year was 702 of which 134 were children under 1 year .
The death rate calculated in relation to births was 108 per 1000 births. This was described as a favourable rate of mortality among births. Scotland rate was 120 per 1000 births with England much higher. This was no doubt thanks to mothers being able to devote more care and attention to their children than women in manufacturing areas.
Carluke and Lesmahagow, apart from 1 in Symington, had all the fatal typhoid cases so sanitary conditions are of an unfavourable character. Consumption deaths were below average. Cancer deaths in the Upper Ward were 23 with 6 in Carluke. Deaths from violence were 28 in Upper Ward with 7 in Carluke.