86 REPORT—1843. 
Of these, 12 occurred at or before the age of five years, and 5 between that and 
ten; showing the great fatality of these accidents in early life. One case was an 
adult, 2 between forty and fifty, and 2 between fifty-five and seventy. 
Immediate cause of death in these cases.—| from tetanus, | from gangrene, and 
20 from the shock received by the system. The dependent condition of the Irish 
poor, requiring them so often to commit the charge of infants to children in their 
absence, is the chief cause of this accident. In 7 cases death occurred within twenty- 
four hours from the accident. 
Amputations—17 capital; 7 of leg; 5 of thigh; 3 of fore-arm; 1 of arm; 1 of 
shoulder-joint ; minor amputations not included. 
Diseases requiring amputation.—3 cases of compound fracture of the leg; 1 ditto 
of arm; 2 of hand followed by gangrene; | disunited fracture of humerus; 5 .cases 
of white-swellings of knee and wrist ; 1 case gangrene of both lower extremities after 
fever; ] exostosis of tibia. Of these, 13 cases were successful; 4 were fatal ; viz. 
1 of leg, and 3 of thigh. 
Causes of death.—In 1 case gangrene, in another a chain of abscesses up the limb; 
in 2, hectic fever with suppuration. The case of amputation at the shoulder-joint was 
dismissed cured in six weeks. 
Fractures.—Total admitted, 277. 
Fractures of lower extremities —Leg 81; thigh 41; neck of thigh-bone I]; pa- 
tella 6; parts of foot 6. Total 145. 
Fractures of upper ditto—Arm 32; fore-arm 7 ; olecranon 2; scapula 2; parts of 
hand 15. Total 58. 
Fractures of head.—Cranium 26; orbit]; jaw 5; nose 6. 
Fractures of trunk.—Ribs 23; clavicle 1]; sternum 1; vertebra 1. Total 74. 
Deaths from fractures were 18; viz. compound fractures of lower extremities 5 ; 
compound fractures of patella 2; 1 case of fracture of cervical vertebra, and 7 of skull ; 
3 cases of fracture of the ribs with wound of lungs. 
In the three latter cases death occurred in | case within thirty-six hours, in the 
other after four and six days. 
In the case of fractured vertebrz, death occurred after eighteen hours. 
In fractures of the skull, death does not seem to come on in any ascertainable pe- 
riod ; | case of fracture of base of the skull with rupture of blood-vessels lived nine 
hours ; another twelve hours ; while a boy, with a similar fracture and effusion, lived 
thirteen days ; and a child of two and a half years, with depression, lived twenty days. 
The next fatal disease was erysipelas ; an epidemic of this complaint existed in 
1838 and 1839; while this epidemic lasted, which was during a year and a half, 137 
cases were treated in hospital, and li cases were fatal, or 253. During the following 
three years and a half 45 cases were treated, and 5 cases died, or 3. Hence the dis- 
ease was relatively less fatal when epidemic. This probably was owing to its con- 
tinuing in the hospital when it had abated in the city, and also to its attacking the 
worst cases. As a sccondary affection it was most fatal in wounds of scalp, ulcers of 
lower extremities, and syphilis. 
Of the 182 cases treated, 88 were females, 94 males. i 
Of the deaths, 6 were females, 10 of the other sex. Age seemed to exercise consi- — 
derable influence over it, as it spared children, but usually attacked persons of middle _ 
or advanced life ; thus only 26 cases were at or under twenty years ; 78 from twenty to 
forty ; and 78 cases from forty to seventy. The number of males, in very early or very 
advanced life, was relatively greater than that of females, while the latter had the 
preponderance in middle life. Since the cholera, the epidemic of erysipelas has been — 
the only severe disease of a migratory nature that has visited Cork; during its con- 
tinuance, and subsequently, continued fever has been less frequent and of a mild type. 
Diseases that were once frequent now extinct, viz. intermittent fever. ; 
Diseases rarely met in Cork and its vicinity, viz. calculus of the bladder and — 
bronchocele. Neighbourhood is limestone ; lime is deposited in culinary vessels from — 
the water, d 
Diseases rarely met with from moral reasons, viz. delirium tremens. Tempe~ — 
rance has lately modified various diseases, accidents especially ; in 1839, 71 cases — 
of fracture were admitted; in 1842, only 39. 
Suicide.—Three cases of attempted suicide occurred in five years, 2 of these were 

