ME'DICAf. CIIA1HTII<:S, IHELANI). 
FIFTH ANNUAL'REPORT . 

OF THE 

COMMISSIONERS OF IRISH POOR LAAVS, 

\ 



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TABLE OF CONTENTS. 




REPORT. 



Amount of Medical i?c/i>/un4er tlie Dispensaries Act, 

Summary of tlie Number of Cases in the years ended 30th September, 1853, 
1854, 1855, and 1856, respectively, in each Province, and in all 
Ireland, . • • • ♦ 

Expenditure incun*ed under Medical Charities Act in each Province and in all 
Ireland, for the years ended *29th September, 1853, 1854, 1855, and 
185G, respectively, . • • • • 

Heads under which the Espendituro for the last year was incurred, . • 

Dispcnsarii Distvicis and Qffi,cers Altei’ations during the past year, < 

.‘-“Prejudice in favour of Small-pox Inoculation . ... 

Circular to Dispensaiy Committees ou the subject, * t * • 

Subsequent increase in the Numbers Vaccuiated, , . . • 

Prosecution and Conviction of Itinerant Inoculators, . . » • 

statement of tlie Numbers Vaccinated in the year ended 30th Soi>temher, 1350, 
compared with the Nnmhers Vaccinated in the previous year, . 

Suggestion in last Annual Report for the extension to Ireland of the Act for 
Compulsory Vaccination, now in force in England, repeated, . 

Cholera, as an Epidemic, has not shown itself during the past year, . 
Prevalence of Soiirlatina and Small-pox among the Dispensary Patients, 
Increased prevalence of Fever in the Spring of 1856, hut suhset[uent decline lu 
Autumu, . 

Periodical Epidemics of Fever, . • • - • * 

Returns from Workhouse Fever Hospitals confirm the evidence of the Dispen- 
sary Returns, as to the absence of Fever to any smioiis extent, . 

8inall-pox more prevalent in the Spring than in the succeeding months of the 
year, . . 

Cases of Small-pox studiously kept from the knowledge of Dispensary Medical 
Officers, in order to protect Inoculators from detection and prosecution. 

Scarlatina has progressed continuously through the Summer and Autumn, . 
Complaiuts preferred against Dispensary Medical Officers, and results, • 
Recommendation in last Annual Report for extending to Ireland the Amended 

Sanitary Laws enacted for England, repeated, . . • • 



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VI 



CONTENTS. 



appendix. 



APPENDIX (A.)-CmouLA,us op Iustouctions issued l-otee the Medicaf 
Chaeiiies Act, 14 & 15 Vici.. c. C8. and Coeeespohdenoe. 



I. — Dispensary Arrangements. 



No. I. Importance of promoting Vaccination anil preventing Variolous Inocu- 
lation:— Circular to Disiiensary Committees, SOtli April, 1856, 
No. 2.— Same subject:— Circular to Boards of Guardians, 30th April, 1856, 
No. 3.— Attendance on Pover Cases:— Circular to Dispensary Medical 
Officers, . - . . . . 22ud July, 1856, 

No. 4. Same subject :— Circular to Dispens.ary Committees, 22ud July, 1856, 
No. 5.— Sanitary State of Dispnsary Districts :— Reports to be made in the 
event of dangerous contagious Disease threatening to become Epi- 
demic :— Circular to Dispensary Medical Officers, 15th Sept., 1856, 



No. G. Sanitary State of Disjjensary Districts : — Circular to Boards of 



Gnardiaus, 



15th iSeptember, 1866, 



Page 

11 

14 

14 

16 



16 

16 



II.— Correspondence on the subject of Vaccination and Vamoious 
Inoculation. 

No. I.— Extract from Quarterly Report of Dr. Taaffe, Medical Officer of 

Nobher Dispensary District of Kells Union, dated 1st April, 1856, 17 

No. 2.— Do. do. do,, 4th July, 1856, 17 

No, 3. Extract from Quarterly Report of Dr, Hetheriugton, Medical Officer 

of Athloue Dispensary District of Athlone Union, 

dated 31st March, 185G, 17 

No, 4. Extract from a- Report from Dr. Geaiy, Medical Inspector, relative to 

Gort Dispensary District of Gort Union, datod 31st May, 1856, 18 

No. 5. Copy Report from Sub-Inspector Ireland to the Inspector-General of 

Constabulary, , . . dated 2lst June, 1856, 18 

No. ().— ^Extract from Report from Dr. Purcell, Medical Inspector, relative to 
the Kilmakevog-e Dispensary District of "W-aterford Union, 

dated 19th July, 1856, 19 

No. 7. K-eport from Dr. Gearj^ Medical Inspector, dated 25th Ju^y, 1866, 20 

No. 8. Report from Dr, Knox, Medical Inspector, relative to the Clogher 

Dispensary District of Clogher Union, dated 6th October, 1856, 21 

No. 9. Letter from Dr, Clarke, Medical Officer of Dunfanaghy Dispensary 

- District of Dunfanaghy Unionj , dated 6th November, 1856, 23 



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CONTENTS. 



tii 

No. lO.-Letter from Dr. Donelmi, Medical Officer of Dunmore Diopen^aiT 

District, Olenamaddy Union, . dated 7th Novemler, 1856 , 25 

No. 11.— Extract from Minutes of Proceedings of the Board of Gnardians of 

Youghal Union, .... dated yt], November, 1856, 25 

No. 12.-Letter from Dr. Ronayne, Medical Officer of Olashmore Dispensary 

District of Youghal Union, . dated 25th January, 1857, 26 



APPENDIX (B).— TABULAR RETURNS. 

No. 1.— Statement of Alterations in Dispensary Districts in Unions in Ireland 
(arranged in Provinces and Counties), according to the Orders 
issued by tlie Commissioners, in pursuance of section 6 of 14 & IS 
Tic.,o. 68 :— (m eontinuatum of Table, J^o. 1, inApp. (B.)lo 
Fourth Annual Report^ • . . . 27 2S 

Summary of Dispens.ary Districts, according to Tables in this and 
previous lleports, .... 09 

No. 2.— Financial and Relief Returns: — List, in pursuance of section 20 of 
the Medical Charities Act (14 & 15 Vic., c. 68 ), of all Dispensary 
Districts in the several Unions in Ireland (arranged in Provinces 
and Counties) : — showing the Number of Dispensaries in each, and 
the Expenses of each Dispensary Disti-ict for the year ended 29th 
September, 1856; with a Return,— for the yeai‘ ended 30th Sep- 
tember, 1856,— of the Number of Cases of Medical Relief afforded 
to Patients at the Dispensary and at their own Homes, respectively; 
the Number of Tickets for Medical Relief Cancelled by the Com- 
mittee of Management, under section 9 of the Act ; Number of 
Cases of Vaccination; Number of Dangerous Lunatics certified; of 
Patients attended in Bridewells, &c., . . . . 30 72 

Summary of foregoing Table, No. 2, . , . , 73 

No. 3.— Greneral Summary of previous Tables, in Provinces : — containing, 1 . 
Statistical Statement ; showing the Number of Unions, Electoral 
Divisions, and Dispensary Districts formed under section 6 of the 
Medical Charities Act, 14 & 15 Vic., c. 68 ; the total and aveiiige 
Population, Area, and Valuation ; Number of Dispensaries, 

Officers, &c. : — 2 . Financial Statement ; showing the Expenditure 
under the Medical Charities Act for the year from 29th September, 

1855, to 29th September, 1856 : — and 3, Relief Return ; showing 
the Number of Cases of Medical Relief afforded at the Dispensary 
and at the Patient’s Home, respectively ; the Number of Cases in 
which Tickets for Medical Relief have been cancelled by the Dis- 
pensary Committee; the Number of Cases of Vaccination per- 
fomed ; Number of Cases of Dangerous Lunatics certified ; Number 
of Attendances at Bridewells or Houses of Correction, &c. ; during 
the year ended 30th September, 1856, . * . . 74, 75 



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VI 



CONTENTS. 



APPENDIX. 

APPENDIX (A.)— CinooLAtts of Instiujctions issued under the Medicai 
C iiARmES Act, 14 St IS Vict., c. G8, and Correspondence. 



I- — Dispensary Areanqejients. 

No. I.— Importaaco of promoting Vaocmatiou and preventing Variolous luocu- * 
lation;— Circular to Dispensaiy Committees, 30th April, 1856, 11 

Same subject:— Circular to Bo.arde of Guardians, 30tli April, 1856, U 

No. 3.— Attemlauco on Pover Cases:— Circular to Dispensary Medical 

‘ • . . . a2nd July, 1866, 14 

No. 4.— Same subject ;— Circularto Dispensary Committees, 22nd July, 1856, IS 
No. 5.— Sanitary .State of Di.speusary Districts:— Reports to be made in the 
event of dangerous contagious Disease threatening to become Epi- 
demic :— Circular to Dispensary Medic.al Officers, ISth Sept., 1856, 16 

No. G.— .Sanitary State of Dispensary Districts :— Circular to Boards of 

Gnai-cliau.'., . . . . . ij-ij .September, 1856, 16 



II. Correspondence on the subject op Vaccination and Variolous 
Inoculation. 

No. I.— Extract from Quarterly Report of Dr. Taafi'e, Medical Officer of 

Nobher Dispensary District of Kells Union, dated 1st April, 1866, 17 

No. 2.— Do. do. do., 4th July, 1866, 17 

No. 3. E.xtmct from Quarterly Report of Dr. Hetherington, Medical Officer 
of Athlone Dispensaiy District of Athlouo Union, 

dated 31st March, 1866, 17 

Extract from a. Report from Dr. Geaiy, Medical Inspector, relative to 
Gort Dispensary District of Gort Union, dated 31st May, 1856, 18 

No. 5. Copy Report from Sub’Inspoctor Ireland to the Inspector-General of 

Constabulary, . ... dated 21st June, 1856, 18 

No. ().— ^Extract from Report from Dr, Purcell, Medical luspector, relative to 
the Kilmakevoge Dispensary District of 'Waterford- Union, 

dated ISth July, 1856, 19 

No. 7. — Report from Dr. Geary, Medical Inspector, dated 25th July, 1856, 20 

No. 8.— Report from Dr. Knox, Medical Inspector, relative to the Ologher 

Dispen.snry District of Cloghor Union, dated 6th October, 1866, 21 

No. 9. Letter from Dr. Clarke, Medical Officer of Dunfauaghy Dispensary 

. District of Dunfanaghy Union, , dated 6Ui November, 1856, 23 



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CONTENTS. 



•yii 

Page 

No. 10.— Letter from Dr. Donelaii, Medical Officer of Dumaore Dispensary 

District, Glenamaddy Union, . dated 7th November, 1850, 25 

No. It.— Extract from Minutes of Proceedings of the Board of Guardians of 

yonglml Union, .... dated 7tli November, 1 856, 25 

No, 12.— Letter from Dr. Eonjiyne, Medical Officer of Clashraore Dispensary 

District of Yough.al Union, . dated 25th Jamxary, 1857, 26 



APPENDIX (B).— TABULAR RETURNS. 

No. 1. — Statement of Alterations in Dispensary Districts in Unions in Ireland 
(arranged in Provinces and Counties), according to the Orders 
issued by the Conimissioncrs, in pursuance of section 6 of 14 & 15 
Vic., 0 . 68 : — (in contimuxtion of Tahle, No. 1, in App. (B.) to 
Fourth Annual Riport,) . . . . . . 27 29 

Summary of Dispensary Uistricte, according to Tables in this and 
previous Reports, ...... 29 

No. 2.— Financial and Relief Returns ; — List, "in pursuance of section 20 of 
the Medical Charities Act (14 & 15 Vic., c. 68), of allDispensaiy 
Districts in the several Unions in Ireland (arranged in Provinces 
and Counties) : — showing the Number of Dispensaries in each, and 
the Expenses of each Dispensary District for the year ended 29th 
September, 1856 ; with a Return, — for the year ended 30th Sep- 
tember, 1856, — of the Number of Cases of Medical Relief afforded 
to Patients at the Dispensary audat their own Homes, respectively; 
the Number of Tickets for Medical Relief Cancelled by the Com- 
mittee of Management, under section 9 of the Act ; Number of 
Cases of Vaccination; Number of Dangerous Lunatics certified ; of 
Patients attended in Bridewells, &c., . . . . 30, 72 

Summary of foregoing Table, No. 2, . . . .73 

Nc. 3.— General Summary of previous Tables, in Provinces: — containing, 1. 

Statistical Statement ; showing the Number of Unions, Electoral 
Divisions, and Dispensary Districts formed under section 6 of the 
Medical Charities Act, 14 & 15 Vic., c. 68 ; the total and average 
Population, Area, and Valuation; Number of Dispensaries, 
Officers, &c.: — 2. Financial Statement ; showing the Expenditoe 
under the Medical Charities Act for the year from 29th September, 

1855, to 29th September, 1856: — and 3. Relief Return; showing 
the Number of Cases of Medical Relief afforded at the Dispensary 
and at the Patient’s Home, respectively; the Number of Cases in 
which Tickets for Medical Relief have been canceUed by the Dis- 
pensary Committee; the Number of Cases of Vaccination per- 
formed; Number of Cases of Dangerous Lunatics certified; Number 
of Attendances at Bridewells or Houses of Correction, See. ; during 
the year ended 30th September, 1856, . . . . 74, 76 



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Viii CONTENTS. 

Pago 

No. 4. — Vaccination I — Return of the Nnmher of Persons VnceinatecI in tlie 
Workhouses and Auxiliary Estahlishmouts of the several Unions in 
Ireland, hy the Medical Officers of those Institutions; and of the 
Number Vaccinated in the several Dispensary Districts, by the 
Medical Officers of Dispensaries under the Medical Charities Act • 
in the year ended 30th September, 1 35G : — abstracted from Returns 
made by the respective Medical Officers, . . . 7ii 81 

Summary of foregoing Vaccination Table, No. 4, , . . 81 

Index. 

No. 5 . — Index List of Unions; ■with Names of Counties in which they are 
situate, and References to Pages in which the Unions are to be 
found in the Appendix, , . .... 83 

No. G. — Index List of Dispensaky Districts; with Names of Unions in 
■which they are situate, and References to Pages in which the Dis- 
tricts are to he found in the Appendix, . . .86 



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MEDICAL CIIAPdTIES, IRELAND. 



FILTH ANNUAL REPORT 

OP THE 

COMMISSIONERS OF IRISH POOR LAW, 



UNDBE 14 & 15 VICT., Cap. 68. 



TO HIS EXCELLENCY GEORGE WILLIAM FREDERICK, 
EARL OF CARLISLE, K.G. 

Lord Lieutenant-General and General Governor of Ireland. 



Dublin, March 9th, 1857. 

May it please yoim Excellency, 

1. We, the Commissioners for administering the Laws 
for Relief of the Poor in Ireland, submit to your Excellency 
tMs, the Fifth General Report of our proceedings under the 
Medical Charities Act. 

2. The following table shows the amount of relief afforded 
under this Act, at the patients’ homes and at the Dispensa- 
ries, in each Province, and in the whole of Ireland, for each 
of the four complete years ending September 30th, during 
which the Act has been in operation. 

B 



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Amount of Dispensary Relief affoi'ded. 



Stomaby of tlie Num ber of Cases of Medioai 



Peuiod. 


PnovrN'fjF. OP Lbikster. 




Dlsponaavy 

Ti(?kcta. 


Visiting 

Tickets. 


Total. 


r>iapoi)aaTy 

Tickets. 


Visiting 

Tickets. 


loU, 


Year omleil liOth Sept., 1053, 


100,103 


4!l,0ei) 


23!1,172 


127,745 


40,264 


160,009 


Ye.ir ended 30th Sopt., 18.n, 


10d,42G 


4!),363 


2-13,780 


121,328 


40,079 


161,407 


Year ended OOtli Sopt,, 1055, 


202,255 


51,622 


256,877 


131,603 


43,154 


174,757 


Year ended 30tli Sept., 105G, 


203,8Cfi 


51,604 


255, .i72 


128,004 


42,083 


170,087 



_ 3. It appears from this table that there was au increase 
m the amount of relief afforded for all Ireland, both at the 
patients’ homes and at the Dispensaries, in the second and 
third of the above years. The same may be said of each 
Province, except Ulster, in which there was a falling off in 
the year ended September, 1854. 

4. In the last jcar, in the table, there has been, on the 
contrary, a decrease in the amount of relief afforded at the 
patients homes in Leinster, Ulster, and Connaught ; and in 
Ulster, we find a falling off in the amount of relief afforded 
at the Dispensaries also. The increase of Dispensary relief 
during former years has been the subject of remark, and has 
been regarded as inconsistent with the improving condition 
of the country for some years past, of whicli we have such 
convincing evidence. Those, however', who have come to 
this conclusion have not adverted to the circumstance that 
emigration has not generally taken place from the class 
which, in sickness, has recourse to the Dispensaries; while 
the whole of those who have, in such large numbers of late 
years, left the workhouses, do belong to that class. 

5 . In Table, Ho. 2, of Ajrpendix B, will be found a detailed 
account of the medical relief afforded in each Dispensary 
district for the year ended 30th September, 1856. 

6. The following table shows the expenditure incurred 
under the Medical Charities Act in each Province, and for 
the whole of Ireland, for the four years ended September 
29th, 1856, the latest period to which the half-yearly accounts 
Jiave been made up and audited. The uniformity of the 
expenditure is very remarkable : — 

Medical Chaeities Expenditdee, Years ended 29th September, 





Loinator, 


Ulster, 


ConAauglit. 


Munster, 


Totol. 




£ 


£ 


£ 


£ 


£ 


1853, 


. 28,716 


23,998 


11,400 


24,326 


88,440 


1854, 


. 28,761 


24,366 


11,351 


25,229 


89,707 


1855, 


. 28,841 


24,675 


11,209 


24,663 


89,388 


1856, 


. 28,422 


24,600 


11,739 


25,475 


90,236 



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Expenditure under Medical Charities Act. 



3 



Kemeb' afforded under the Medical Charities Act. 



Province of Connaught. 


Province o'f Munster. 


“ 

Total for Ireland. 


DLipensary 

Tlokots. 


Visiting 

Tickets, 


Total. 


Dispensary 

Tickets. 


Visiting 

Tickets. 


Total. 


Diapoiiflaiy 

Tickets. 


Visiting 

Tickets. 




66,690 


10,898 


77,583 


172,495 


34,147 


206,642 


557,033 


133,378 


690,411 


68,128 


12,139 


80,267 


173,443 


36,119 


209,56-2 


557,325 


137,700 


695,025 


70,902 


13,163 


84,065 


178,787 


38,077 


216,864 


583,547 


149,016 


73-2,563 


72,527 


12,070 


84,597 


190,274 


40,807 


231,081 


594,673 


146,564 


741,237 



The total for the last of these years, viz., £90,236, was in- 
curred under the following heads : — 

Medicines and medical appliances, . . . .£16,195 

Rent of Dispensary buildings 6, 803 

Books, forms, stationery, printing, and adrertising, . 1,204 

a fMedical Officers, .59,468 

S^'aries,|^pothecarie3, lIsTr 

Buel, porters, and incidental expenses, not included 

under the above beads, 4,699 

Total, £90,236 

7. This total shows an increase of expenditure for this 
year, as compared with the preceding, of £848. There is 
an increase of expenditure on medicines and medical ap- 
pliances amounting to £1,331. The difference between this 
sum and the net increase (viz., £848), is accounted for by 
diminished expenditure under some other heads. 

8. The detail of the expenses incurred in providing Dis- 
pensary relief for the last year in each Dispensary District, 
and in each Union in Ireland, will be found, under the heads 
specified above, in the Appendix.* 

9. The average poundage on the valuation of Ireland for 
the maintenance of the Dispensaries is slightly lower this 
year than it was for the last, having been l'86<i. in the pound 
for last year, and l-85d. for this. 

10. A few alterations in the organization of the Dispen- 
sary Districts have been made in the past year. In two 
Unions, Carlow and Corrofin, two Dispensary Districts in 
each have been united to form one. In the Clogheen Union, 
originally divided into four Dispensary Districts, a re-ari-ange- 
ment has been made, by which the districts are reduced to 
three. In the Galway Union, the Islands of Arran, which 
formed part of the Galway Dispensary District, have been 
formed into a separate District ; and in the New Ross 
Union, an Electoral Division has been transferred from one 

• Appendix B, ITo."2. 

B 2 



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4 Alterations in Dispensary Districts . — Vaccination. 

Dispensary District to another. In one of the Dispensary 
Districts (Shinronc) of the Eoscrea Union, a second Medical 
Officer has been appointed. The details of the alterations 
referred to, will he found in the Appendix.* ’ 

11. In previous Medical Charities Deports, and more 
especially in our last Report, wc expressed our dissatisfac- 
tion in regal’d to the imperfect manner in which Yaccina- 
tion has been carried out at the Dispensaries under the 
provisions of the Medical Charities Act ; and our anxiety 
and apprehension lest an Epidemic Small-pox should break 
out among the largo number of persons, of all ages, tluough 
the country, unprotected, either by having had the disease 
naturally, or by inoculation, or by successful vaccination, 
amongst whom this most contagious disease is continually 
kept alive by itinerant inoculators, carrying on their perni- 
cious trade with little fear of the penalty provided against it, 
owing to the unhappy prejudice extensively existing among 
the people in favour of Small-pox inoculation. Of the three 
known ways just mentioned, by which an individual may 
acquire probable immunity for the future from Small-pox, 
the peasantry of Ireland unfortunately prefer that which is 
attended with most danger to the unprotected community. 
Eor although by contracting Sraall-pox naturally, the danger 
incurred by the individual is great indeed (the ordinary 
mortality of the disease being one in five, and in Epidemics 
not unfrcquently doubling this proportion) ; yet, as regards 
the safety of the rest of the unprotected, every one, so far 
from deliberately making himself a centre of contagion, by 
voluntarily inducing the disease, wiE do every thing in his 
power to avoid it, so that the centres of contagion being 
few, a large propiortion of the piopulatiou escape the disease. 
By receiving Small-pox by inoculation, the benefit to the 
individual is indeed of vast amount, the mortality of the 
disease being thereby diminished about a hundred fold. 
Still he has to undergo a serious disease, in whieh he may 
lose his hfe, or, if he do not, by which he may be deformed, 
or blinded, or have .his constitution permanently injured ; 
and, as regards the rest of the unprotected, the risk they 
are exp>osed to by Small-pox inoculation is of the most 
serious magnitude ; and as the number of persons who will 
thus receive variola by inoculation will, in the aggregate, 
far exceed that w'hich would have been attacked, had no 
measures whatever been taken, it foUows that though the 
mortality from the Small-pox in the inoculated may be di- 
minished, that of the community will be increased. There 
is good reason to believe that the proportionate mortality 

* Appendix B, No. 1, 



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Vaccination — Variolous Inoculation. 5 

from Small-pox was increased in England from seventy-two 
to ninety-five per thousand, in consequence of the introduc- 
tion of the practice of inoculation for Small-pox. iflie supe- 
riority of successful Vaccination over the other two modes, 
by which protection may be had against future attacks of 
Small-pox, is indisputable. It does not protect with more 
certainty than they do against future attacks of Small-pox ; 
but neither would the best authorities admit that it does so 
rvith less certainty. As regards the individual, he acquires 
immunity by means of passing through an ailment wliich 
scarcely deserves the name of disease ; and, as regards the 
unprotected, they incur no risk whatever by the propagation 
of the Vaccine disease. 

12. Immediately after the annual appointment of the Dis- 
pensary Committees, in the beginning of last spring, we 
addressed a circular to them,* earnestly requesting them to 
use their best efforts to promote Vaccination, and suppress 
SmaU-pox Inoculation, by every means that the existing state 
of the law put at their disposal. We informed them that 
wo had learned from the Deports of the Medical Inspectors, 
and the Deturns of the Dispensary Medical Officers, for the 
31sfc of December and 3 1st of March preceding, that Small- 
po-v was unusually prevalent in Dispensary Districts in 
several counties in each of the Provinces of Ireland; and 
that, in many of those Districts, the number of cases of SmaU- 
pox, and the amount of mortality occasioned by it, had been 
so great as to excite much apprehension in the public mind, 
inwhich wo could not but p)articipate. We recommended, 
in the event of its coming to their knowledge that inocula- 
tion was practised in their Districts, that they would imme- 
diately communicate with the Constabulary, with a view to 
procure the prosecution and punishment of the offenders; 
and fiu’ther, to obviate a not unreasonable objection which 
we had reason to believe prevented mothers, occasionally, 
from bringing their infants for Vaccination to the Dispen- 
saries, viz., the fear of exposing them to the risk of con- 
tracting contagious diseases among the Dispensary patients, 
we recommended the Committees to fix stated Dispensary 
days for the performance of Vaccination alone; or to appoint 
atiine before or after the usual period of the Medical Officer’s 
attendance for the discharge of his ordinary duties, for the 
same piu'pose ; taking care to make the arrangements in 
liiestion extensively known. We have good reason to bo 
satisfied with what has occurred since the issue of this cir- 
cular. A large increase in the number of Vaccinations has 
taken place, and there has been an unusual number of prose- 

* Appendix A, No. 1. 



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6 Vacehiation — Variolous Inoculation. 

cutioiis, many of them attended witli convictions, of itinerant 
inoculators. Since the 26tli of last March thirteen convictions 
of Inoculators for Small-pox have been reported to ns by 
Medical Inspectors or Dispensary Medical Officers. In our 
last Medical Charities Eeport we complained that, for tbe 
year ended September 30th, 1855, the number of Yacci- 
nations performed at the Dispensaries was only 46,ni, a 
number less by 6,133 than the number of the preceding year. 
In the year ended September 30th, 1856, the number of 
Vaccinations has risen to 84,131, a number not very much 
short of double of that of the preceding year, and far above 
that of any other year since the enactment of the Medical 
Charities Act. 

13. This result is, doubtless, in the highest degree grati- 
fying. Nevertheless, we are in no way disposed thereby to 
alter or modify the opinion expressed in the sixteenth para- 
graph of the last Medical Charities Eeport, as to the impe- 
rative necessity of providing, by legislation, for the more 
effectual carrying out of gratuitous Vaccination in heland. 
We showed in that Eeport that there is good reason to 
believe that the number of poroper objects for gratuitous 
Vaccination annually added to the population is about 
145,000. Thus, even last year’s large number of Vaccinations 
falls short of what it ought to have been, for the purpose 
merely of providing for the Vaccination of those added to 
the popoulation within the year, by about 61,000; and it 
should be borne in mind that in these remarks we have left 
altogether out of view the certainly very large number of 
poersons in the popmlation ofdreland, above the age of one 
year, who have, in no way, received protection from tbe 
consequences of exposure to variolous infection. Further, 
we think it may be confidently anticipated that the deolme 
of SmaU-pox wiE be followed by a return of apathy with 
respoect to Vaccination, and a falling off of the numbers 
vaccinated. These considerations, we think, fully justify 
the anxious desire we experience to see such legislative 
measures adopted as we have recommended in the sixteenth 
paragraph of our last Medical Charities Eeport, or such 
others, including the Eegistration of Births and Deaths, as 
may seem to the wisdom of Parhament best calculated to 
pvrotcct the people of this kingdom from the consequences 
of neglect and prejudice in regard to SmaU-pox. 

14. Cholera, in an Epoidemic form, has not shoyvn itsell m 
any part of Ireland during the past year. 

15. Notwithstanding the generally satisfactory^ sanitary 
condition of the country during the past year, there has been, 
for more than a year, a prevalence, among the Dispensary 
patients, of Scarlatina and Small-pox, occasionaUy becoming, 



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Prevalence of Scarlatina and Small-pox. 7 

in certain localities, sufficiently great to create public alarm; 
and for some months past the common typhoid fever of 
Ireland also has attracted more notice than usual ; hut, 
hitherto, not in such a degree as to give reasonable ground 
to apprehend that it is about to become Epidemic. In one 
locality only has it been thought necessary to take any ex- 
traordinary step with a view to check the increase of fever. In 
the Eethard Dispensary District the Campile Eever Hospital 
was reopened a few months ago by the Board of Guardians of 
the New Ross Union, and this Hospital is still in operation. 
The quarterly Reports from the Medical Officers of Disj>en- 
saries for the year ended 29th September, 1856, show an 
increased prevalence of Fever in the Spring, and a subse- 
quent very considerable declme in the Autumn, but negative 
the existence of the disease to any serious extent in any part 
of the year. Nevertheless, the time being now at hand, 
when, according to the lamentable experience of past times, 
a visitation of Epidemic Fever might be expected to occur in 
this country, we shall not fail to watch the indications of the 
returns with deep interest, and not without hope that a 
powerful proof of the improved condition of the people, in 
addition to the unmistakable ones we are already acquainted 
with, will be found in the mitigation of this scourge, which, 
for a long series of years, has retm-ned with such periodic 
regularity and such terrible destruction of life. Severe Epi- 
demics of Fever occurred in Ireland in 1799, 1810, 1816, 
1826, 1836, and 1846. Any evidence of the absence of 
Epidemic influence in respect to this disease at the present 
time is, therefore, highly gratifying; and we have the 
pleasure of being able to add, that the returns from the 
Fever Hospitals of the Workhouses completely confirm 
the evidence of the Dispensary Returns, inasmuch as they 
exhibit for the six months, from the beginning of April 
to the end of September, 1866, a tolerably uniform decline 
of Fever, from 1,806 cases in April to 1,015 in September. 
It is true this decline of Fever belongs to the season; 
but it is quite inconsistent with the supposition that an Epi- 
demic Fever has commenced and is making progress. 

16. The Reports of the Dispensary Medical Officers re- 
garding SmaR-pox show it to have been more prevalent in 
the Spring months than in the succeeding months of the 
year, but at no time to have prevailed anywhere as a serious 
epidemic. The numbers, however, known to the Dispen- 
sary Officers, we have good reason to believe, are very far 
indeed short of the true numbers of the cases of SmalD 
pox actually occurring in the population. In the great ma- 
jority of instances cases of Small-pox have been studiously 
kept from the knowledge of the Dispensary Medical Officers, 



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8 Small number of Fever Cases. 

lest tlieir being made aware of the existence of the disease 
should lead to the detection and prosecution of the inocn 
lators, whom the peasantry are desirous of savhm from surh 
consequences 111 the Keports of some of the Medical hi 
specters and Dispensary Medical Officers, printed in the 
Appendix, V wll he found some singular statements, exhi- 
biting the difhculties, proceeding from this cause, of nro- 
curmg the conTiction of Small-pox iuoculators. and tlie 
devices had recourse to by the peasantry, with a view to 
extinguish all evidence of the illegal practice. 

1 7. In respect to the last disease, which we have spoken 
ot, VIZ., bcarlutma, we mentioned in our last Medical Chkties 
Deport, that, at the date of tliat Deport, this disease had 
become prevalent in several Dispensary Districts, and it has 
since spread very extensively tlirough the country without, 
in any locality, having become so rife as to render necessary 
the acloption of any extraordinary means for the puipose of 
checking Its progress, the Fever Hospitals of the Workhouses 
having been hitherto found amply sufficient to meet the 
requireinciits of the occasion, except in the case of the 
hospital specially provided liy the Carridc-on-Suir Board of 
(jiiardians at Portia vw Unlike Fever or Small-pqx, Scarla- 
tina IS shovyi by the Dispensary Reports to have progressed 
continuously tlirough the Summer and Autumn of the year 
185G, a large increase of numbers having occurred in the 
faeptember quarter ; and according to the Returns partially 
leceived for tiie succeeding quarter, it cannot be considered 
to have been on the decline at the close of the year. 

Tu paragraph of our First Report under the 

Medical Charities Act, we observed that “ one of our most 
‘important functions would thenceforth be to make inquiry, 
“ by our Inspectors, and afford redress in all cases of well- 
“ foun ded coinqilaint in regard to the administration of relief 
‘‘ to the sick poor, and at the same time to protect the 
‘‘ character and interests of every officer who maybe exposed 
'• to^ undeserved obloquy, or to any other description of 
“injustice in relation to the discharge of his duties under 
“ the Medical Charities Act.” We have now to report to 
your Excellency, that since the commencement of the 
operation of the Medical Charities Act, 252 complaints 
ha,ve been preferred against Medical Officers of Dispensary 
Districts, of which 97 were withdrawn, or ultimately shown 
to be unfounded; in 117 cases the Medical Officer was 
censured, with more or less severity, according to the nature 
of the case ; 15 cases resulted in forced resignation, and 5 
in dismissal under seal. In a small number of instances the 

* Appendix A, II., No. 1 to No. 12. 



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Amended Sanitary Law recommended. 



Medical Officer resigned on being caUed on for explanation 
or on inquiry being directed. In 10.5 of tbe above cases we 
found It necessary to direct inquiry to be made on oath into 
the complaints by a Medical Inspector, and a few cases 
were of such a nature that we declined to interfere. We 
have reason to think that this exercise of our power of 
superintendence ^ind control has been attended with very 
beneficial results.to the poor persons requiring medical aid in 
Jielaiicl, and at the same time to have been satisfactory to 
that largo proportion of the entire body of the Dispensary 
uacers who are zealously attentive to the discharge of then- 
public duties. ° 

19. In conclusion, we desire to repeat the recoinmenda- 

of the Medical Charities Report 
oi 1S56, and to submit to your ExceUency’s consideration 
the expediency of extending to Ireland, with the modifica- 
tions necessary to adapt it to the local institutions of this 
country, the anmnekd Sanitary Law enacted for England in 
dio_ Session of 18o5. Ihis Act supersedes, in England, the 
INuisances Removal and Diseases Prevention Acts, stiR in 
ome in Ireland ; and has introduced some highly important 
aclditioiis and improvements of, the former state of the 
sanitary laws of England. 



We have the honour to be 
^ Your Excellency’s obedient, faithful servants, 

' (Signed) A. POWER. 

E. HOllSMAN. 

THOS. A. LAECOM. 
J. M“DONMELL, M.D 
E. SENIOR. 



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APPENDIX. 



APPENDIX (A.) 

CIEdnLAKS OS' INSTRUCTIONS, ISSUED UNDER THE MEDICAU 
CHARITIES ACT, 14 & 15 VIC., c. 68, AND CORRESPONDENCE. 



I.—DISPENSARY ARRANGEMENTS. 

No. 1 Importance of Promoting Vaccination, and Pre- 

venting Variolous Inoculation ; — Circular to Dis- 
pensary Committees. 

Poor Law Commission Office, Dublin, 
30th. April, 1856. 

Sib, . • , . 

1. The Commissioners for administering the Laws for Relief 
of the Poor in Ireland are earnestly desirous to draw tlie attention 
of the newly appointed Dispensary Committees to the necessity 
which exists for the performance of Vaccination, as a protection 
against Small-pox, in their respective Districts. The Commis- 
sioners are pai'ticularly anxious at the present time to diiect 
attention to this important subject in consequence of the greatly 
increased danger to persons unprotected by Vaccination, or other- 
wise, from the existing extensive prevalence of Small-pox. 

3. The Commissioners have observed from the Reports of tlieir 
Medical Inspectors, and from Returns received by them from the 
Medical Officers of Dispensary Districts for the quarters ended 
31st December last, and tbe 3ist nit., that Small-pox has^ been 
recently, or still is, prevalent in many Dispensai’y Districts in 
the Counties of Cork, Clare, Kerry, Limerick, Tipperaiy, and 
Waterford, in Munster ; of Kilkenny, Kildare, Longford, Meath, 
Westmeath, and Wexford, in Leinster ; of Galway, Leitrim, and 
Roscommon, in Connaught; and of Antrim, Armagh, Cavan, 
Down, Monaglian, and Tyrono, in XJlstei’. In many of the Dis- 
tricts referred to, the number of cases of Small-pox, and tlie 
mortality occasioned by it have been so great as to excite much 
apprehension in the public mind ; and in this apprehension me 
Commissioners cannot hut participate. They are satisfied, for 
reasons assigned in paragraphs 11 to 15 of their Annual Report 
under the Medical Charities’ Act, recently issued,* that there ai-e 

• Eourth Annual Report, 1856. 



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12 Circulars of Instructions — [App A 

many, children, and even adults, in every part of the count, -v 
unprotected against Small-pox either by Vaccination by Inoc/ 
lation, or hy having had the disease naturally; and’ it is well 
known that Small-pox is being continually propagated hy itine- 
rant Inoculators in a great number of Districts thi-oiHi the 
country, and that consequently the unprotected persons alluded 
to are constantly liable to contract this highly contagious disease 
which, when so contracted, is often virulent, and in a larae nro 
portion of cases fatal. When not fetal it, in many instances 
deprives the patient of sight, thus rendering him, if poo-- pro- 
bably an object for public support during the remainder of his 
life. Amongst those, on the other hand, protected by sueces,sfHl 
Vaccination, a large proportion of such persons are not suscen- 
tible of Small-pox, if exposed to its contagion ; and amongst 
those susceptible of it, and who happen to take it, the disease, in a 
lai'ge majority of sucli cases, occurs in a modified and mild form 
and is attended with a mortality trifling in amount when cora- 
jiared with that which occurs in tho cases of persons taking the 
disease who had not been previously Vaccinated. 

3. These considerations h,avG induced tho Oommissioners to 
address this Circular to Dispensary Committees, and they ear- 
nestly request them, in conjunction with their Medical Oflicer or 
Medical Officers, to employ, persevcringly and actively, every 
means for the promotion of Vaccination wliich the present state 
of tlxe law empowers them to adopt. 

4. The Commissioners deshe at the same time to observe that 
they have learned, with much gratification, from cominunicatioiis 
received by them, that the number of convictions, under sec. 8 of 
the Vaccination Extension Act (3 & -4 Vic., cap. 29) of persons 
engaged in the injurious practice of .Inoculation has lately in- 
creased ; and the Commissioners anticipate highly beneficial 
consequences, from those proceedings, in checking the spread of 
the disease of Small-pox. The section referred to enacts “that 
“ any person who shall, from and after the passing of this Act, 

“ produce^ or attempt to produce in any person, by Inoculation 
“ with variolous matter, or by wilful exposure to variolous mat- 
“ ter, or to any matter, article, or thing, impregnated with vario- 
“ lous matter, or wilfully by any other means whatsoever produce 
“ the disease of Small-po.x in any person in England, Wales, or 
“ Ireland, shall be liable to be proceeded against and convicted 
“ summarily before any two or more Justices of the Peace in 
“ Petty Sessions assembled ; and for every such Offence shall, 

“ upon conviction, be im 2 xrisoned in the common Gaol or House 
“ of Correction, for any term not exceeding one mouth.” 

5. The Commissioners strongly recommend the Ooniinittee to 
communicate, from time to time, with the Police Authorities in 
the Dispensary District for which they act, witlx a view to the 
prosecution and punishment of any p)ei’sons offending as described 
in the above section, and the Commissionei’s x’ely upon the 
several Dispensary Medical Officers affbi-ding all the aid in their 
power in the prosecution of such parties. The Notice, form N. 



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No. I. 1.] Vaccination and Inoculation. 13 

wliicli contains a copy of the above section, should he posted in 
the most conspicuous places in the District, in accordance with 
Art.^ 1 6 of the Dispensary Rules, and the Inscription on ' the 
Notice Board attached to the exterior of the Dispensary should 
contain the particular’s prescribed by the same article of the 
Dispensary Regulations. 

6. In consequence of the spread of Small-pox, it was deemed 
advisable in some Unions to issue, in addition to the above 
notifications, and to have extensively circulated, a special notice, 
calling particular attention to the necessity for Vaccination, and 
to the dangerous consequences of Inoculation ; and a form of 
such a Notice* is appended hereto, for the information of the 
Committee. 

7. The Commissioners desire also to observe Diat the Com- 
mittee should take cai-e Drat a due supply of effective Vaccine 
Lymph is at all times kept up at the Dispensary by the Medical 
Officer, in order Drat he may be always prepai-ed to vaccinate 
applicants ; and in cases where the Board of Guardians subscribe 
for Die Dispensary to the Dublin Cow-pock Institution he should 
be apprized that he can apply direct to the Institution for the 
Lymph required from time to time. As heretofore pointed out 
by the Commissioners the performance of Vaccination by the 
Medical Officer is not limited to any particular class of persons, 
he being bound by the Statute “to Vaccinate all persons who 
may come to him for that purpose,” and the production of a 
Dispensary Ticket is not requisite in such cases ; and as there is 
reason to believe that mothers are often deterred from bringing 
their children for Vaccination on Dispensary days by the not- 
altogether groundless fears of exposing them, amongst the Dis- 
pensary patients labouring under various diseases, to the risk of 
contagion, the Commissioners, with a view of obviating this 
objection, and to afford every facility possible for parties obtain- 
ing the benefit of Vaccination, recommend that a separate day be 
fxed for Vaccinating persons who may require it, or a specified 
time on each Dispensary day for Diis purpose alone, before or 
after the usual period of the Medical Officer’s attendance for Die 
discharge of the ordinai’y Dispensary business. Die Committee 
taking care to malce the arrangement well known throughout the 
Dispensary District ; and the Commissioners D-ust that effective 
measures will be taken by the Committee, in conjunction with 
their Medical Officer, for promoting Vaccination, and preventing 
the injurious practice of Inoculation with Variolous matter in the 
Dispensary District. 

By Order of the Commissioners, 

B. Banks, Chief Clerk. 

To the Honorary Secretary 

of each Dispensary Committee. 



See copy of Notice, p. 14, 



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14 



Circtdars of Instructions :■ — 



[App, a. 



NOTICE. 

S MALL-POX . — G AO TION . 

The attention of ijaveiits and other persons haying children under 
care is requested to the importance of having them Vaccinated, as a safe 
guard against Small-pox; and they are lierehy vi'amed of the dmgerous 
consequences of Inoculation as tending to produce and spread the dfeeSv 
intection._ In order tliat the practice of Inoculation may be disS^a 
and Vaccination extended as much as possible amongst all classes, the co’ 
operation oi the Guardians and Members of the Dispensary Committees in 
their respective Districts, is invited ; as also that of the Clergy of the several 
denominations, in regard to their respective congregations ; and of Em 
ployers, in reg.ard to the families of those employed under them, -with the 
view of their urging the importance of Vaccination wherever it has been 
neglected, so as to induce parents to bring their children for the pm-noseto 
the nearest Dispensary Station, where the Medical OfScer will Vaccinate 
gratis, without an Order or a Ticket, any children or other persons who 
may he presented or come to him for that purpose. 

By Order, 

, Clerk of Union. 

N.B — Any person practising Inoculation is liable to proseention, and 
summary conviction under the Act 3 & 4 Vic., cap. 29. 



No. 2. — Importance op Promoting Vaccination, asd 
Preventing Variolous Inoculation:^ — Circular to 
Boards of Guardians. 



Poor Law Commission Oflice, Dublin, 
80th April, 1866. 

Sib, 

The Gonunissioners for administering the Laws for Eelief of 
the Poor in Ireland desire to transmit herewith, for the information 
of the Board of Guardians, a copy of a Circular Letter which they 
have addressed to Dispensary Committees on the subject of Vac- 
cination ;* and die Commissioners request the particolai’ atten- 
tion ot the Guai'dians to those pai'ts of the Circular which refer 
to the Notices required to he posted throughout each District, 
and to the supply of Vaccine Lymph for the Dispensaiy, with a 
view to the Guardians taking any steps which may be necessary 
thereon. 



By Order of the Commissioners, 

B. Banes, Chief Clerk. 



To tlie Clerk of the Board of Guardians 
of each Union. 



No. 3 . — Attendance on Fever Oases : — Circular to 

Medical Officers. 



Poor Law Commission Office, Dublin, 
22nd July, 1856. 

Sir, 

The attention of the Commissioners for administering the 
Laws for Relief of the Poor in Ii'eland has been directed to the 
fact, that some Medical Officers of Dispensary Districts, espe- 
cially those recently appointed, as well as some Members of 



* See No. i, p. 11. 



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No. I- 2, 3, 4.] Attendance on Fever Cases. 



15 



Committees of MaBagement, entertain the ' erroneous opinion 
that a Medical Officer has discharged himself of all responsi- 
bility of further attendance upon a patient suffering from fevei’, 
on whose behalf a visiting ticket has been presented to him, 
after he has once visited and recommended tire removal of the 
patient to a Fever Hospital. 

In reference to this subject, the Commissioners desire to point 
out to you, that section 9 of the Medical Charities Act provides, 
that “ every Member of the Dispensary Committee, and every 
Believing Officer and Warden acting for an Electoral Division 
included in such Dispensary District, shall have power to afford 
Medical Belief by the issue of a Ticket in such Fomi as the 
said Commissioners shall prescribe, addressed to the Medical 
Officer of the . District, dix'ecting him to afford Medicine and. 
Advice to, or attend any poor person resident therein; and it* 
shall be tire duty of tire Medical Officer to afford Medicine and 
Advice, and to atteird such poor person as thereby directed:” and 
the Dispensary Eegulations require that the Medical Officer 
“ shall duly and punctually attend upon, either at the Dispensary 
dining the appoiirted hours for attendairee thereat, or at the home 
of the party on whose behalf application is made, or elsewhere, 
as the ease may require, and supply all requisite Medical or Sur- 
gical Advice and assistance to every poor person in the District, 
or Division of a District under his charge,” on whose behalf a 
ticket in tire prescribed Form has been presented ; and the Com- 
missioners desire to state that a Medical Officer of a Dispensary 
District will be held responsible for the due performance of this 
dutjf so long as the case requires his attention, or until the ticket 
shall have been cancelled in the manner provided for by the 9th 
section of the Medical Charities Act. 

By Order of the Commissioners, 

B. Bakk.s, Chief Clerk. 

To the Medical Officer 

of each Dispensary District. 



No. 4. — Attendance on Fever Cases : — Circular to 
Dispensary Committees. 

Poor Law Commission Office, Dubliir, 
S2nd July, 1856. 

SlE, 

The Commissioners for administering the Laws for Belief 
of the Poor in Ireland transmit herewith, for the information 
of the Committee of Management, a copy of a Ckcular Letter 
which they have addressed to the Medical Officers of Dispensary 
Districts, relating to their attendance on Fever Cases.* 



By Order of the Commissioners, 

B. Banks, Chief Clerk. 



To the Honorary Secretary 

of each Dispensary Committee. 



*No. 3, p.U. 



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3 6 Circulars of Instructions : — [App. A 

No. 5 — Sanitary State op Dispensary Districts :—Pe- 
poRTs to be made in the eyent of Dangerous Contagious 

Disease, threatening to become Epidemic : Cirmlai- 

Medical Officer. 

Poor Law Commission Office, Dublb, 
16th September, 1856. 

Sir, 

Adverting to the Circular addressed to Medical Officers of 
Dispensary Districts, dated 31st May, 1866,* by which the Me- 
dical Officers were relieved from so much of the duties imposed 
upon them by the 2 1st Article of the Dispensary Eegulations,' as 
required them to furnish Monthly, to the Commissioners for ’ad- 
ministering the Laws for Relief of the Poor in Ireland, a lietam 
• in the Form L, referred to therein, the Commissioners wish to 
observe, that as the Returns exhibiting tlie state of disease in the 
Dispensary Districts, are now made only four times in each year 
to them, they think it desirable to secure earlier information re- 
specting tlie invasion of any dangerous contagious disease, such 
as Small-pox, Scarlatina, or Typhus Fever, than the present 
system of Returns could in mtmy instances afford. 

The Commissioners, therefore, request that in the event of the 
occurrence of cases of any dangerous contagious disease in your 
District, in such numbers as to give reasonable ground to apprehend 
that it may become epidemic, you will address a Report of tlio 
facts to them, so as to enable them to call upon the Board of 
Guardians without delay, to make such special provision as may 
be necessary to prevent or mitigate the evil. 

By Order of the Commissioners, 

B. Banks, Chief Clerk. 

To each Medical Officer of a Dispensary District. 



No. 6 — Sanitary State of Dispensary Districts. 

Poor Law Commission Office, Dublin, 
loth September, 1850. 

Sir, 

The Commissioners for administering the Laws for Relief of 
the I’oor in Ireland transmit herewith, for the information of the 
Board of Guardians, a Copy of a Circular which they have ad- 
dressed to the Medical Officer of each Dispiensary District, 
relating to the sanitary state of the District under his chai'ge.f 
By Order of the Commissioners, 

B, Banks, Chief Clerk. 

To the Clerk to the Board of Guardians 
of each Union. 

* Fourth Annual Report, p, sr. 1 



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No. II.] Bejtorts on SmaU-poa. 17 

II. — CORRISPONDENCE ON THE SUBJECT OF VACCINATION AND 
Variolous Inoculation.. 

No. 1. — Extract from Quartei'ly Report of Er. Taaffe, 

Medical Officer of Nobber Dispensary District of Kells 

Union, dated 1st April, 1856. 

Sniall-pox has extensively appeared in the Electoral Division 
of Kilmainham Wood. It appeal's that it commenced, and has 
been kept up from inoculation, by some persons of the labouring 
class. Parents of children who nearly died of the complaint, and 
whom I visited, were most careful, notwithstanding the peril to 
which theirchildren were exposed, to conceal thename andreisidence 
of this inoculator. I reported the proceedings at the different Police 
Depots, but nothing has been yet arrived at to detect the offender. 

No. 2. — Extract from Quarterly Report of Dr, Taaffe, 
dated 4th July, 1856. 

I reported at the different Oonstahulary Stations in my District, 
that Small-pox was being propagated through the District by 
some itinerants unknown. I, in course of a short time, got notice 
from the Constable in the Ardagh Electoral Division, that there 
were several cases of Small-pox in his neighbourhood, jiroduced 
by a “ quack ” residing there. I next day proceeded with the 
Constable to the residence of those parties to examine the subjects, 
with the view to prosecute the inoculator ; but, to my surprise, I 
found it was Cow-poeh, though I would suspect die parents of 
those children were under the impression that it was Small-pox. 

This inoculator, however, is not the individual who practised 
inoculation hy Small-pox so extensively, as represented m my 
Keport of 31 st March last. 

Thomas Taaffe,- Medical Officer. 

P.S. — Since I -filled up the above form, a Suh-eonstahle has 
called on me, saying, that I should not be absent, as it was likely 
the Coroner of the County would call on me to attend an inquest 
in a case of death from Small-pox, in the Ardagh Electoral Division 
of my District, which was to talce place this day. I have kept 
myself in readiness to attend all day, but I have not yet heai-d 
from die Coroner. I presume he has brought anodier medical 
man from another District, as is his custom. I cannot, therefore, 
give you further information on this subject, hut that the inoeu- 
Intor is in custody pending the Coroner’s inquiry. 

Thojus Taaffe. 



No. 3. — Extract from Quarterly Report of Dr. Hether- 
iNGTON, Medical Officer of Athlone Dispensary District 
of Atlilone Union, dated 31st March, 1856. 

Many cases of Small-pox have appeared of late in various parts 
of this Union, and it is much to be deplored that the practice of 
inoculation for Small-pox prevails extensively about this place; 
this has been the case ever since I became acquainted with this 

0 



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IS 



Itej)orts on Small-jwx. 



[App. a. 



neighbomlioocl, now neiirly twenty years, and never more so tbin 
within the last few months, and the cases of several children 
who have died from this cause, have been related to me Nn 
person, that I am aware of, has ever been here made amenable tn 
justice tor this most serious offence ; but it is manifest that imless 
some stronuoiis effort is made to repress this practice even- ex 
ertion to prevent the spread of Small-pox will be mrav^in^ and 
the disease -will be perpetuated iu the country, 



ITo. 4. Extract ^ from a Report from Dr. Geary, Medical 
Inspector, relative to Gort Dispensary District of Gort 
Union, dated 31st May, 1856. 



A person named “ Groemy” ivas prosecuted successfully last 
year, but appears to be undeterred by the punishment inflicted on 
that occasion, as he is represented to be again engaged in flie same. 
lUegal pursuit; as also a j>erson named “Forgerty/’and a woman 
'wliose name I was unable to ascertain. 

absence of Dr. Nolan, on leave, accompanied hyMr. 
Gill, the apothecary, I had an interview with the Head Constable 
ot Tolice, who expressed every readiness to afford all the aid his 
force can contribute to cause the detection and punishment of the 
transgressors. 

^ As inlorred. Variola has been, and is still, very prevalent 

in the pmtrict. As many as twenty oases ai'e stated to exist in the 
town of Gort at present, introduced, it is believed, by inoculation, 
and spreading subse(juently by contagion. In all it is estimated 
that about eighty cases have occurred in the District since 1st 
January, 1850. 



JSTo. 5. — Copy Report from Sub-Inspector Ireland to tie 
Inspector-General of Constabulary, dated 21st June, 1856. 

Olifden, 21st June, 1856. 

I beg to state, for the information of the Inspector-General, 
that I was able, on 17th instant, at tlie Petty Sessions of 
Glifden, ^ to convict a quack doctor, Thomas Lynch, for inocu- 
lating with Small-pox a great number of children in this district. 
He w'as sentenced to one mouth’s imprisonment, aU the Act 
empowered the Justices to inflict. The Magistrates were — 
Lieutenant- Colonel Shaw, n.ivr. ; Mr. Jones, Mr. Scully, and Mr. 
Roliinson, agent to the Law Life Assruance Company — lately 
sworn in. 

I had Lynch summoned on eleven different cases. The only 
evidence I could produce were the parents, whom I summoned 
to give evidence, and most reluctantly they did so. One case 
was only heard — that in which I had the conviction. The Ma- 
gistrates then adjourned to the private room, and at last sent for 
me, and asked me to withdraw the other cases, as they intended 
to give one month’s imprisonment to the offender— to which I at 
once assented, stating I had no object but a discharge of duty to 
their satisfaction: they returned me thanks, and so terminated 
this affair. The sessions before, a solicitor was employed to 



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19 



No. II.] 



He^orU on Small-jwx. 



defend the offender; some technical ohjections were raised as to 
the wording of the summons, and I had to withdraw the case for 
that day. The man was near creating a plague from the number 
of children he inoculated. This is the second person I had con- 
victed here for same offence. 

(Signed), J. Ireland, S.L 

I could not have established this case without the aid of Dr. 
Suffield, and was obliged to get him to mspect and examine the 
children who were inoculated seven miles from this, and hope 
the Inspector-General will approve of my doing so. 

(Signed), J. Ireland, S.I. 

jfo g Extract from Eepoet from Dr. Pdeoell, Medical 

inspector, relative to the Kilmalcevoge Dispensary District 
of Waterford Union, dated 19th July, 1856. 

I have the honour to inform you, that during this week I 
visited the Kilmakevoge Dispensary District, in the Waterford 
Union, having heard that Small-pox was prevalent m ttat Dis- 
pensary Distiict, and I regret to have to report to you that such 

is the case to a very serious extent. , tj- i -r 

A very comfortable farmer, named Edmond Hart, residing in 
the tomiland of Darbystown, in the New Eoss Union, has 
very recently inoculated nearly 800 chilch'en m the Eilmakevoge 
Dispensary District of the Waterford Union, Whitechurch Dis- 
pensary District of the Oaxrick-on-Suir Union and in Dispensary 
Districts of the Thomastown and New lloss Unions, the names 
of which I was unable to ascertain. • 

This Hart was very closely watched by the authorities of the 
Eihnakevoge Dispensmy District, and was convicted before the 
Magistrates, and got three weeks’ 

tinm he was undergoing his punishment one of the chiiclien 
whom he inoculated died. An inquest was held upon the body, 
IndT verdict of manslaughter returned against him by the jury. 
Se Coroner laid a detainer upon him, had the necessary mfoi- 
inLnt Lorn by the father of tlf/^-eased 
and he is now awaiting his trial at tire present Kilkenny Assizes. 

Di Deirthe Medical Officer of the Kilmalcevoge Dispensary 
DiLict exerted himself a good deal to have Hai-t prosecuted. 
He visited thirty-five cases whom Hart had inoculated in 
chstriet, and I should say that it was upon his evidence that he 
was, and I hope will be finally, convicted. . 

Dv Den has spent some days, and a good deal ot his time, in 

visiting tliose cases, and he states that he 

of the farmers of his district upon him, by which his pin ate 

chff^^^^^ by Hart ai-e those of the comfort- 

able class of farmers. The disease not spread j 
poor or beyond those inoculated, as fai as J. eouiu ^oaiu m 

C S. SS has no CM. « “K Di,. 

The Dispensary regulations are fuEy earned out in tne^u^® 
trfot!^and the Medical Officer appears to be extremely jittenoive. 



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20 



Reporln on Small-po.v. [App. A 

No. 7.— Eeport from Dr. Geary, Medical Inspector. 

Gahvay, 26th July, 1850. 

Gentlemen, 

I have the honour to report, that the respective Grand 
Jm-ies of the County and Town of Galway this clay found true 
bills against Thomas Carroll and Walter Regan, botli charged 
with causing the deatli of children by inoculation with Small, 
pox virus— the informations and warrants, in reference to botli 
cases, having emanated from coroners’ inquests held on tlie 
bodies of the deceased children. 

Thomas Carroll, who has only recently completed the term of 
imprisonment fixed by the Magistrates at Ballinasloe, for inocu- 
lating three cases with Variolous Matter, was brought up from 
tlie Couirty Gaol, where he was confined under Her Majesty’s 
warrant, on being arraigned, pleaded “ Guilty,” expre,ssing Ins 
regret for the offence, winch had been committed at the instance 
of the parents, and promised not to transgress in future— when 
he was sentenced to two months’ imprisonment, to date from 
14th June, the period of his committal to the Coimty Gaol, and 
te-rminate on 14th August, proximo. 

Walter Regan, from Moycullen, who was out on hail, smTcn- 
dered, and on being arraigned, pleaded “ Guilty,” urging, in 
mitigation of punishment, his having acted by desire of the 
parents, and uudertalcing to desist from similar illegal practices 
in future. He obtained a good character from some gentlemen 
in court, and was sentenced to he confined in the County Gaol 
till the 1 4th August, proximo. When passing sentence, in each 
case, Judge Keogh referred, in strong terms, to the serious natoe 
of the offence, stating that it was pmiishahle by transportation, 
and warned persons against a eontinnance of the illegal practice 
of inoculation, which merited, and would he sure to receive, the 
extreme penalties of the law on future occasions. 

It is to be regretted that the cases did not undergo investi- 
gation by trial, when convictions would, no doubt, have resulted, 
as Dr. Horne of Ballinasloe, and Dr. D.avis of Galway, were 
fully prepared to substantiate the cause of death ; and other evi- 
dence was in readiness to convict both prisoners as to the re- 
spective cases for which they stood indicted. The prisoners having 
pleaded “ Guilty,” induced a less severe sentence than would 
have followed a conviction by a jury. However, it is satisfactory 
to find that the law has been vindicated ; and it is to be hoped 
that the publicity which will be given through the press may 
have a salutary effect in checking the pernicious practice of ino- 
culation which ,so generally prevails in this and other Distiicts. 

I have the honour to ho, Gentlemen, your obedient servant, 

William J. Geaey, M.D., Medical Inspector. 



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No. II-] Reports on Small-ppa.\ 21 

No. 8. — Keport from Dr. Knox, Medical Inspector, relative 

to the Clogher Dispensary District of Clogher Union. 

Enniskillen, 6th October, 18B6. 

Gentlemen, 

I have the honour to report that, in accordance with your 
instructions, I proceeded on the 4th instant to tlie Clogher Dis- 
pensary District, to make inquiry regarding its genei-al sanitary 
state, and the pn-evalence of Small-pox therein, as brought under the 
notice of the Commissioners by Dr. Scraggs,the Medical Attendant 
of the Dispensary, in his communication of the 2t!nd ultimo. 

On inquiry it appears that only one case of Small-pox has 
been enrolled on the Relief Registry in the present year, but 
a considerable number of persons have been attacked by the 
disease, who have not sought for or obtained any medical treat- 
ment, to which the lower classes of the population do not appear 
to attach much importance in this disease ; consequently, the 
numbers cannot be ascertained with any exactitude. 

Two cases only — the first that appeared in the District — 
occurred in the town of Clogher about six months ago, and it 
spread no further there. It next appeared in a distant part of 
tlie Dispensaiy .District, in the Townland of Ballaghneed, where 
it lingered for some time, various cases having occurred, but 
none of them terminating fatally. 

Small-pox next shorvecl itself in the village of Augher, where 
it has attacked a considerable number of persons, but of whom 
no record can be procured, for the reason above stated ; but I 
visited the village in company with the Medical Attendant, and 
personally made inquiry, in every house there, where w'e could 
ascertain that any one had suffered from the disease. The result 
of our investigation was, that about thirty cases iii all had occurred 
in thirteen houses, and of this number two had proved fatal. 
The majority are convalescent, and all wall porohably recover. 
The disease appears to have been of a severe hut not confluent 
character, occurring in the great majority of instances amongst 
children, and generally amongst the poorer classes of the 
population. 

We inquired minutely regarding tlie previous performance of 
Vaccination in all the individuals attacked by disease, and the 
results of our investigation were conclusive, as far as they went, 
in favour of the protective influence of the practice. 

Thus, in the family of the Dales, two unvaccinated children 
were attacked by Small-pox, and five others who had been pre- 
viously inoculated with Cow-pock Lymph escaped the disease. 
Seven children, in the family ol Long, all unvaccinated, suftered 
from a severe attack of the malady. In the family of Ricc,^ con- 
sisting of fi’m children, three who had been vaccinated enjoyed 
immunity from the disease, whilst two others not similarly pro- 
tected, passed through the complaint. In like manner, in the 
family of Lynch, of four children, the only one attacked by Small- 
pox had not been vaccinated, whilst the other three had ; and a 
, similar result took place in the family of Donaghey, where three 



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22 



Reports on Small-pox. [j^pp_ ^ 

clnldreu who had been vaccinated remained miaffected bv tbp 
contagion of Small-pox, at the time that two others were labour 
ing under its effects. 

Of the two children in the family of Woods, the one preriouslv 
nnvaccmated had the disease severely, whilst the other said to 
have been vaccinated, wars stated to have had it only in a verv 
mild form. Neither of the patients who died had been vac 
oinated. 

The mode of the introduction of the malady into Augher could 
not be ascertained with certainty, nor into the Clogher District 
generally, but it had been prevalent about the time of its appear- 
ance there in the adjoining Dispensary Disteict of Fivemiletown 
•where it had prevailed more extensively and fatally than in 
Clogher. ^ 

The last persons attacked in Augher first exhibited decided 
symptoms of the malady about ten days ago, and since then no 
other cases have occurred, giving reason to hope that the epi- 
demic may have nearly run its course there ; and any alarm 
which it had created appears in a great measure to have subsided. 

In the Fivemiletown Dispensary District, which I also visited,' 
I foimd that the irru2ition of Small-p)ox, recently jn’evailing 
there, had completely passed away. It is not believed that 
Vaiiolous Inoculation had been pi^'^titised in the vicinity of 
Clogher, the jjeojile in the District generally having confidence 
in the efficacy of "Vaccination, but they are careless in applying 
for it, and still more so in bringing back their children for 
examination after tlie operation, thereby leaving the results in 
doubt. This is a serious evil (and, as the law now allows no 
remedy against h, of increasing frequency in my District of 
inspection), leading, as it does, to diminished security from the 
subsequent attacks of Small-pox amongst those who have been 
vaccinated, but not successfully, and spreadmg amongst the 
people a want of confidence in the protecting power of Cow-pook. 
Every facility, however, is afforded for vaccination at the Dis- 
pensary, by the Medical Attendant, and of this the peojjle are 
fully aw'are, tlie j)rescribed Notices having been duly circulated 
throughout the District. On inspecting the sanitary condition 
of Augher, I found the drainage very defective, and considerable 
masses of filth and stagnant water lying in the water tables, and 
in open drains, in various places. It would, therefore, be de- 
sirable to have the nuisances referred to abated, as well as any 
others that may have accumulated in the District, and to provide 
for the purification and whitewashing of the poorer description 
of tenements in the village of Augher. 

Special notices might also he issued to stimulate the people, 
in all cases, to bring their children to he vaccinated, the uni- 
versal piractice of which, much more than any sanitary pre- 
cautions, is to be looked to as a defence from those epidemic 
irruptions of Small-pox, which have of late years been so common, 
so widely diffused, and so fatal. "Vaccination, as a universal 
practice, however, is scarcely to be hoped for, under the existing 



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23 



No. II.j Heports on Small-pox. 

state of legislation on tlae sul)ject ; but it would probably be 
found quite attainable, througb the machinery called into opera- 
tion by the Medical Charities Act in this Eingdom, if a law 
were enacted under which due provision could be made for 
the vaccination and subsequent inspection of all chilchen, not 
brought to the public Stations appointed for the pm-pose, at 
their own homes ; and as ancillary to this, for the registration of 
births, and for the exercise of compulsory powers, where the 
prejudices of the people in favour of Small-pox, or other cir- 
cumstances, might render an unwilling resort to them occa- 
sionally indispensable for the public safety. 

As regards the sanitai'y condition of the Clogher District 
generally, I find on inquiry that it is satisfactory, being free 
from all other epidemic diseases. 

I remain, Gentlemen, your most obedient servant, 

Alex. Kkox, M.D., Medical Inspector. 

The Poor Law Commissioners. 



No. 9. — Letter from Dr. Clarke, Medical Officer of Dun- 
fanaghy Dispensary District, Draifanaghy Union. 

Dunfanaghy, November 6, 1856. 

Gentlemen, 

I beg to state that, having been privately informed ffiat a 
number of children were quite recently inoculated with Variolous 
Matter in different parts of the Dispensary District. I made 
minute inquiries on the subject, and found the report to be per- 
fectly true ; and that the number of children was so great as to 
lead to the belief that, in a particular part of the District, at 
least, all the children who ought to have been (but were not) 
inoculated in the last tw'O or three years had been operated on. 

The parents, in every instance, refused to allow their children 
to be inspected, or to answer inquiries, and it was with great 
difficulty, and after many unsuccessful attempts, that a clue was 
got to the operator. I communicated with the Magistrates and 
Police, and caused the latter to issue summonses against a man 
of the name of John Gallagher, ol Oreeslough (supposed to be 
the Inoculator), and also against a great number of persons whose 
children were believed to have been operated on by bim. The 
case came for trial at the Petty Sessions held at Dunfanaghy, 
on Tuesday, the 4th instant, and resulted in a conviction. The 
trial lasted for nearly two horn's ; and the evidence given showed 
that an astonishing amount of precaution had been used to pro- 
tect the accused from discovery. In all the cases the parents 
stated that they did not ask Gallagher to inoculate their 
children ; did not see him do it ; nor did they hold any con- 
versation with him on the subject. It appeared clear that a 
bargain had been made by the parents with a third party, and 
they were thus enabled to deny any communication with tire 
defendant. In one instance, a mother stated that she found 



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24 



[App. a. 



Eoports on Small-pox. 



four ot lier children in their bed, with their arms cut vet sbp 
swore that she had never employed Gallagher to cut tlipT 
though she confessed that she left him alone in the kitchen «’ 
little before they were inoculated, and when she returned slie 
tound him gone and the children’s arms bleeding 
Another woman went for water, leaving lier infant alone in the 
house, and on her return she found its arm cut. She also ac 
knowledged to having seen Gallagher in the street as she ms 
going out. 

From all this it appeared to the Magi,strates that the defendant 
was accompanied Iiy an assistant, who made the bargains an 
pointed the time, and took charge of the children diu-m« the 
convenient absence of the parents. ° 

Notwithstanding tlie defence made, the ease was fully proved 
in five separate instances, and the defendant sentenced to im- 
pri.sonment accordingly. 

I now beg leave to call attention to one or two facts with 
reference to the above case. 



First These cases of iiroculation have all occurred in and 
around the town of Creeslough, in which I have a branch Dis- 
pensary, and where the public is informed that Vaccination is 
performed gratis. 

Secondly— -Every facility is afforded, and inducement offered 
to parents to bring their children for Vaccination, yet the cases 
have been few until the last mouth, when, from some unknown 
cause, childi'en were brought in considerable irmnbers, and iijy 
hook shows an aniount of J 00 cases for that month alone. 

/■Thirdly — I'lie inoculation did not commence until the middle 
of^ October, and it is believed that Gallagher impressed on the 
minds of parents the great danger ari.sing from vaccinated 
children going about and mixing with children who had not 
had the disease, as the prevalent idea among the people is, tliat 
Small pox may be taken by infection from a vaccinated, in the 
same way as it is communicated by an inoculated child. 

T hese considerations lead to the conclusion that the Dispensary 
Medical Officer docs not compete successfully with the quack 
inoculator, and that it is not sufficient to offer “Vaccination 
gratis” to induce p)eoj)le to adopit it. It is evident that a strong 
porejudice in favour of Small-pjox inoculation exists amongst 
them, that it is kept up> by the Inoculators, and that they have 
a direct interest in doing so, as they are pjaid for eveiy case. 

The Medical Officer, with many other duties to perform, thinks 
it quite sufficient to “ Vaccinate all childi'en brought to him,” 
and until he is pilaeed on a footing of equality with the Inocu- 
lator, in having a direct piecuniary interest in the matter, it is 
not to he expected that he should do more than confine himself 
to the mere clisehai'ge of his duty. 



I am, Gentlemen, your obedient servant, 

Wh. Claeke, M.D. 

The Poor Law Commissioners, Dublin. 



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No. 10. — Letter from Dr. Donelan, Medical Officer of 
Dunmore Dispensary District, Glennamaddy Union. 



Gentlemen, 



Dispensary, Dimmore, Co. Galway, 
November 7, 1856. 



I have the honour to inform you that a man named O’Neil 
was summoned by the Constabulary before the Magistrates here 
yesterday, for inoculating witli Small-pox ; and, being con- 
victed, was sentenced to a fortnight’s impirisoninent, it being a 
first conviction. This man has kept up the practice for years in 
this part of the country, but was, I believe, never before con- 
victed at any other sessions. He was summoned here a year 
since, but the case foil to the ground for want of evidence, as I 
had not seen tlie patient : and this case was adjourned from a 
previous day, there being then only one Magistrate. As there 
was no copy of the Act in the Court, there was some difficulty 
in convicting tlie man. Blay I request, therefore, you will be so 
good as to order a copy of it to be sent to me, that I may be 
better prepared for such cases in future. 



I have the honour to be. Gentlemen, yom' obedient seiwant. 



To the Poor Law Commissioners, 
Custom House, Dublin. 



W. E. Donelan. 



No. 11. — Extract from Minutes of Proceedings of the 

BeARD of Guardians of Youghal Union, on the 7th 

November, 1856. 

The following Letters, &c., were read ; — 

6th November, 1866. — From Doctor Garde, forwarding a state- 
ment from a Police Constable in the Templemichael Dispensary 
District, as follows : — 

“ 1856, 4th November.— In the month of September last I 
received information that a number of children had been inocu- 
lated with Small-pox matter in the neighbourhood of Youghal 
Park some time previously ; and, from all the circumstances of 
the case, I suspected a man named John Bourke, of Kuockmaris, 
near Clashmore, to be the person guilty of the offence of having 
done so. I accordingly had him summoned before the Magis° 
trates at Youghal, and also the parents of the children as wit- 
nesses, when the case was dismissed by Mr. Hayoian, J.P., the 
parties not being able to prove that the offence was committed 
within three months, as charged in the summons ; hut they all 
identified him as the offender. There were seven children inocu- 
lated at the time in the locality, belonging to different persons. 

“ (Signed), Thomas BDEeal. 

“ P.S. — All knowledge of the name and residence of the 
accused was derived of me in the first instance, and it was on 
suspicion only I had him brought forward.” 



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26 



Rejwrts on Bmall-pox. [App. A. No II 

No. 12 — Letter from Dr. Ronayne, Medical O^cer of 
Clashmore Dispensary District, Youghal IJnion. 

Clashmore, January 3S, 1S57 

Gentlemen, 

I beg to acknowledge the receipt of your communication of 
the 24th inst., and in reply beg to state that the Oommittee of 
Management did not hold their usual meeting on the first Tues- 
day in January, it being the only occasion during the jMst year 
on which a meeting was not held on the regular day. 

With regard to the party inoculating for Small-pox, as soon 
as it came to my knowledge I reported the matter to Sub-In- 
spector Rooney, of the Clashmore Constabulary District, and he 
immediately dhected the men under his charge to proceed to 
the residence of the parties indicated by me, when drey procured 
evidence of an immense number of cases after being inoculated 
by amair named Bourke some time before. The parents of die 
cbildren were summoned as witnesses, and also the iiioculator, 
who had two attorneys to defend him, which cii'cumstanoe be- 
coming known to Snb-Inspector Rooney some days previously, 
he applied to the Youghal Board of Guardians for legal assist- 
ance, which was granted, and the ease came in due course before 
the bench of MagisRates at Clashmore ; and although the only 
witness examined (an unwilling one) proved on oath drat Bomke 
inoculated her children, and that the clisease produced was Small- 
pox, or, as she termed it, die Natural-pock, still die Magistrates 
refused to convict, as they had no Medical evidence in the case 
to prove that the affection was variolous. 

In fact, it is impossible to convict under the Act, as it is only 
ill cases which they apprehend will end fatally that they call on 
the Medical Officer to visit their children in this affection, and 
those are generally persons who have taken the complaint from 
the parties inoculated. 

I feel that I have clone every thing in my power to check 
inoculation, even at the risk of gaining a good deal of popular 
odium, as the prejudice of die people i.s greatly in favour of it ; 
and I fear diat it will be carried on to a greater extent in future 
when it is seen how difficult it is to prosecute to conviction. 

I have the honour to be, Gentlemen, your obedient servant, 

U. B. Rokayne. 

The Poor Law Commissioners, 

Custom House, Dublin. 



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APPENDIX (B).— TABULAR RETURNS. 



pfoTE.— In tills ssries el Tables, tbe Unions sse classed in tlie Comities and FTOTincesin which tiie chief or central place of the respective Unions is situate- 
but many of the Unions oomprise parts of more than one County or Province. The total of Popolation and Area of the Unions in the respeotive Counties 
and Provinces, as arranged in these Tables, will not, therefore, agree with the aammaiies of those Counties and Provinces in the Census Betums, from which, 
as amended, the Population audArea, for 1891, hare been taken for this and previous Beports, The Valnation given in these Tables Isthat whicli was in force 
on the 29th September, 1666. An Alphabetical Index last of Uniouais annexed (Ko. 5),shoa'ing tlie Counties of w h ich potions are contained in each Union, 
and referring to the table and page in which the particolars of eacli Union are to be found. An Alphabetical Index List of the Dispensary Districts is 
likewise annexed (No. 6), with similar references and the name of the Union in which each District is situate,] 



No. 1. — Statejient of Ameeattons in Di3PENSAET Districts in Unions in Ireland (arranged in Proyinees and Counties), 
according to the Orders issued by the Connnissionere, in pursuance of § 6 of 14 and 15 Vic., c. 68 : — (m coniinvation cif 
Table No. 1, in App. (B) to Fourth Annual SepwS). 







J-a 

i 


Pope* 

laUon: 




Poor Law 
Z Valuation. 


1 

SSI'S® 


III 

ill 


nJ 


Data of Order. 


Cohunn 1. 


i. 


a 


4. 


e. 




r. 


8. 


9. 


10. 


PEOVINOE OP LEINSTEK. 

COOKTT or Cascow. 

C.Mitow, . . .1 TuUow 

1 Balliokmoylet and Newtown,* 




t midwi 
28 Nov 
9,ISS 


t authorized fo 
1666. 

29.0T2 0 4 


£ 1. d. 

this District, by 
- 


on Op 
26 


3 




f20ih Jana, 1856, talcing 
1. effect on 26th July. 



* The Distriots of BelliokiDorlM and Kevrtown, shoira ia Pixst Annuat Report, p»ge 88, wove united under this Order 

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App. B. No. 1.] Retwni of Dispensary Districts. 




PROVINCE OF LEINSTER— cosJwMrf. 

COBSTV OP KlUl.VBS. 

JOCB, . . I Lucan 



OouKTY OP Troose. ’ 

• I CastlBfinn, A midwife auOtotlzed for lias District, I 

December, 1S50- 



38,5il9 I 21, W8 0 23 — 

3383 I 11,287 3 17 — 



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No. 3: PiKANciiii and Rewsf E.BnrRHs. — L ist, in pursuance of § 20 of the Medical Charities Act (14 & 15 Vic. c. G8), of all Dis* 
PENSAar Disteicts in the several Unions in Ireland (arranged in Provinces and Counties) t — snowing the Numbek of Dispen- 
saries in each, and the Expenses of each Dispensary District for the Year ended 29th September, 1856; with a REnraN, 
for the Year ended 30th September, 1856, — of the NniiBEB of Oases of Medioal Belief afforded to Patients at the Dispensary 
and at their own Homes, respectively ; the Number of Tickets for Jfedical Belief Cancelled by the Committee of Manage- 
ment, under § 9 of the Act ; Numberof Casesof Vacoinationj Numherof DakqbroosLijnatios certified; of Patients attended 
in Bridewells, &c. 



Note on Table No. 2. 

Golonuu 1 to 8,5 and 6 inelaslve.areahstncted from the sealed Orderi of the Commissioners. 

Columns 4 and 7 to 13, inclaaive, aro ahstracted from Returns received from the Clerks of Unions 

Columns 14 to 21, incluBive, are abstracted from Rstoms received from tbe Medical Officers of Dispensary Districts. 

ColumsS: Id various instances in whicb Rent does not appear in tills Table as of the Annual KApenses, the Dls^n^ary of the District is heldiaa house vhiea 

was used for a Dispensary under the late system, or in a court-house, or other puhlic building, the use of which is obtained by tbe Guardians for the purpose, or in & 
house granted by Hie proprietor, rent free or at a nominal rent. 

Columns 6 and 10: In some instances two Dispensary Districts, in different but adjoining Onions, are attended by the same Medical Officer. 











or Tbab 


END80 29tb Snrr 


JLIBBB. lA 


.. 


MaorcAi BauKr AFronnBO ik Ykao b-stbd 
SO rs SEPrauoER, 18SS. 


Nnnr 


NiKKS. iS s5 toTs 


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•Dispensaet Distsicts, with the Expenses, and Amount of Medical Relief afforded, in the several Unions, — continued. 






























No. 2,] and Ilelief Returns of Dispensary Districts. 





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-Dispbnsakt Disteicts, with the Expenses, and Amount of Mbeical Relief afforded, in the several Unions, — continued^ 
























No. 2.] mid Relief Returns of Dispmsa'ry Districts. 





89 



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Printed image digitised by the University of Southampton Library Digitisation Unit 



2. — Dispehsaet Disteicts, with the Expenses, and Amotjni of Medicaii Relief afforded, in the several Unions, — continued. 




















ITo. 2.] and Relief Returns of Dispensary Districts. 










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P I Apothecaries, 




Modioinos and 
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tg, Rent of Dispensary 
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'a p3}oumij[ — •siun'j.dn dvfaqvx 89 



Printed image digitised by the University of Southampton Library Digitisation Unit 



Ifo. 2. — DisPEKSAEr Disteicts, with the Expenses, and Amount of Medical Tt.rer.TEP afforded, in the several Unions — continued.. 






















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S £ 


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103 ’ 
1.063: 2 


; 


: 


28 


! 


- 


- 


99 18 4 


40 12 o| - 


381 12 6 


96 16 9 


■» 3 


9.19 0 0 


2,033 


410 


2,493 




2 


1? 13 |e 


16 sj 4 4 11 


m 12 ' 


40 0 6 


1) 4 2 
37 13 1 


^ if s 


,i 


i 


*f>3 

1,016 


1 


9i»j i 
279; 1 






4 


: 


- 


88 19 3 


26 10 fl| 9 13 9 


310 9 1 


40 0 0 


38 6 


3S8 9 7 


2,778 


9li0 


3,774 


10 


709: 3 


— 


— 


» 

19 


1 


10 19 0 
36 H 4 
23 13 3 


9 0 a 1 4 8 
10 0 0 1 4 8 
5 0 0[ 2 18 2 


1 !S - 




89 13 6 
122 7 4 
102 12 6 


188 

OS 


138 

199 


1,1a 


- 


j 

« - 


3 






71 2 7 


20 0 o| 3 9 6 


1118 0 0, - 


13 8 


314 13 6 


iH «* 


1,902 


2 


156 - 


h 1 






M 10 ^7 


3 J ^ ® 

10 0 o| 0 9 0 

2 S 0 7 2 


100 0 0 
68 0 1 
70 0 ( 


10 11 4 


13 18 8 


111 


3,0m| 696 


2,W 


- 


J 9 
1^ 1 


33 


11 


ts 




5 




49 14 6 


30 0 oU 3 4 


.375 0 0 


19 J1 4 


47 14 8 


992 3 7 4,‘J9ll 1,125; 0,088 


21 


53lj 6 


35 


11 


9 


1 


: 


; 


83 10 8 

0 16 1 
29 9 2 
6 12 0 


7 ]« 4 
6 0 1 

9 0 1 
0 0 0 


1 0 !o 


M 0| 

ra 0 ( 




9 16 6 
6 0 3 
6 7 2 


!w jj J 


977: 130 1.007 

i,lSG| 306| 1,479 

1,886' 18C; 1,77: 

269 . 61] 310 


11 


]«' 3 
- 

-1 - 




} 


84 






- 


80 19 2 


34 18 4 10 14 7 


300 0 0 


- !3I 8 11 


810 16 0 1 4,418, 7S8j 8,170 


a 






8 


s 


I 


; 




18 12 9 
27 1 1 

S 


'Hi 




IW 0 1 
80 OO 


: 


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123 7 8 
102 1 8 


'3” 1«| *504 

1^8 I.IX 


■ 


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111 - 


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69 7 0 


34 0 0 


12 6 




- |l5 0 16 


464 1 1 i 3,445 [ 5So| 4,025 




355] 2 


T 





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ITo. 2.] and Relief Returns of Dispensary Districts. 




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No; 2 . — ^DisJeKsary Districts, with the Expenses, and Amotot of Medioar Relief afforded, in the several Unions — continued. 


















No. 2.] and Relief Returns of Dispensary Districts. 7l 




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No. of Eleetorul Divisions 
in Dispensary District. 



] No ofDispensaries.orDispeiv 
I sary Stations, In cnch District. 



9* j Mccl. Offleers. 



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tioiiory, Printing, 
and Advertising. 



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I Apotliccarios. 

i 



Puel imii Attendance, 
j and Inuiileiital 
K.xpensesn.t included 
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No.oft ’ascsol' Vneoina- 
tlon jierl’ormed under 
a. in during bbe yc;ar.[ 

No.orDnngerouBLuna- ' 
tics tertl tied under s.l ft. ! 

No. of Days on wlilcli i 
Attendnneo given at ; 
Bridewell or House of : 
(^orriwtiiin, u nder a. 1 ft, ! 

No ofPatlents attended I 
iiiDridewellor House of; 
Correction during year. ' 



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SU5IMABY OF FOREGOING TABLE, No. 2 




Printed image digitised by the University of Southampton Library Digitisation Unit 



No. 2.] and Relief Returns of Dispensary Districts. 





74 General Summary of Dispensary Tables. [A.pp j 

No. S.-Gbmbal SuMMAkr of previous Tables, in Provinces i-contaiiyug 1 
Dispensary Pistriots formed under § 6 of the Medical Charities Act, U & 
of Dispensaries, Officers, &c. 3. Pinanoial Siatement; showing the Ei- 

1855, to 29tli Septomher, 1856 and 3. Kelibp Retukn; showing the' 
Home, respectively; the Numher of Cases in which Tickets for Medical Be- 
Vaccination performed; Number of Oases of Dangerous Lunatics certified' 
year ended 30th September, 1856. ‘ 



HEADS OF PARTIOUXARS 
in foregoing Tables. 


LEINSTER. 


ULSTER. 


Golumn 1 . 


1 " 


8. 


4. 


6. 


Statistics of Unions and Districts : — 

Population of Unions, in Provinces, —1851, . 

Area of Unions and Dispensmy Districts, in statute ) 

acres, j 

Poor Law Valuation of Unions, in Provinces,— 1858, 

Number of Unions, 

„ Electoral Divisions, 

j, Dispensary Distiicts 

„ Dispensaries or Dispensary Stations therein, . 

„ . Medical Officers authorized to be appointed 1 

for Dispensary Disti'ictR, . . . / 

„ Apothecaries 

„ Midwives, 


j 

i ' 

1 ■ ■ 

j • . 

j i 

1 ■ • 

1 • • 

1 ■ • 


1,710,798 

4,940,819 

£4,227,912 

40 

944 

202 

310 

237 

10 

7 




3,002,670 

5,308.198 

£3,247,758 

44 

876 

216 

268 

223 

2 

7 


Expenditure in Year ended 20th September, 1856 
Medicines and Medical Appliances, .... 

Eent of Dispensary Buddings, 

Books, Bonus, Stationary, Printing, and Advertising, 
Salaries of Medical Officers, ...... 

„ Apothecaiies, 

Fuel, Attendance, and Incidental Expenses. . * , 


iC4,57D 

2,476 

832 

18,916 

748 

1,875 




£4,635 

1,869 

831 

16,520 

200 

1,045 




To^tal^Expenditure in year ended 20tli September, 




^a«.4'32 




^ai,600 


Bulief Ektuiins, and Dniins of Mehicai, Officeus for 
year ended 30tli September, 1850 : — 

Number of Cases attended on Disiiensary Ticicets, ■■ 

II 1 . on Yisitiiig Ticliets, ’ . 


208,868 

51,604 




128,004 

42,083 




Total New Cases in the year 

Number of Cases in -wMoh Tickets for Medical Eeliefi 
were cancelled in tlie year, . . . . / 

Number of Cases of yaoeination under Medioal'chaidties ) 

Act in the year, r 

Number of Oases of dangerous Lunatics cerlili’ed in the ( 

year, J- 

Number of Patients attended in Bridewells or HonsU of| 
CoiTcction during the year, . . . . r 

Number of Dispensaiy Districts in wlii’cli aitendanoe') 
was given at a Bridewell or House of CoiTection >- 
situate therein, J 




265,472 

629 

27,004 

149 

.87 

71 




170,087 

1,320 

20,201 

142 

231 

238 



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I^'o. 3.] 



General %immary of Dispensary Tables. 



rs 



Statistical Statement ; sliowiiig tlie num'ber of Unions, Electoral Divisions, and 
15 Yic. 0 . 68 ; the total and average Population, Area, and Yaluation ; Number 
penditure under the Medical Charities Act for the year from 29th September, 
Number of Cases of Medical Relief afforded at the Dispensary and at the Patients’ 
lief have been Cancelled by the Dispensary Committee ; the Number of Cases of 
Number of Patients Attended at Bridewells or Houses of Correction, (he.; during the 



CONNAUGHT. 


MUNSTER. 


TOTAL 

roa 

IRELAND. 


AVERAGE. 1 


Tor 

Uniohs. 


For 

DiBPBNSAar 

DlSTBtOTa. 


For 

MsoioAt. 

OFPtCBRJ. 


6. 


7. 


8. 


9. 


10. 


11. 


IS. 


13. 


14. 




062,919 




1,875,008 




6,562,065 


40,197 


9,164 


8,476 




■1,060,230 




6,005,403 




20,314,150 


124,627 


28,411 


26,280 




^1,094,105 




£3,162,164 




£11,731,909 


£71,976 


£16,408 


— 




29 




50 




163 


■— 


— 


— 




596 




1,023 




3,438 


21 


5 


4 




95 




202 




715 


4 


— * 


— 




114 




302 




094 


6 


1 


— 




102 




221 




773 


6 


1 


— 




7 




20 




39 


— 




— 








— 




14 


— 


— 


— 














£ «. 


£ 


ii s. 


^a.462 




£4,523 




£16,195 




99 7 


22 13 


20 19 


768 




1.690 




6,803 




41 15 


0 10 












1,204 




7 8 


1 13 


— 


7,392 




16,630 




59,458 




364 15 


83 3 


76 18 


'225 




704 




1,877 




— 




48 3 


731 




1,548 




4,699 




28 17 


6 11 




• 


^11,739 




£25,475 




£90,236 


£053 12 


£126 4 


- 






190,274 




694,873 




8,648 


832 


769 


1 2^070 




40,807 




146,564 






205 


190 




84,597 




231,081 




741,237 


4,547 


1,037 






521 




630 






18 


4 


4 


i • 


6,544 




30,382 




84,131 


517 


118 


109 




79 


. , 


157 




527 


- 


— 


— 




821 




308 




dir 


- 


-- 


— 




67 




195 




671 


— 




— 



Printed image digitised by the University of Southampton Library Digitisation Unit 













76 Tabular Returns. [App, B 

Fo. 4. — Vaccination Return of tlie Fumber of Persons Vacci- 

nated in the Workhouses and Auxiliary Establishments of the 
several Unions in Ireland, by the Medical OMcers of those Insti- 
tutions; and of theNuniber Vaccinated in the severalDispensary 
Districts, by the Medical Officers of Dispensaries under the Me- 
dical Charities Act, in the Year ended 30th September, 1856 
abstracted from Returns made by the respective Medical Officers 



Nawb oif Union. 


j Nimibor Vaccinated in 
1 Worklmuscs by tho 
j Medical OiUcora thereof. 


No. of 
Cases of 
Vaccina- 
tion by 
Medical 
Olliccis of 
Uisjioiiaary 
Districts. 


Total No. 
of Cases 


Suc- 

cessful 

Cases. 


1 

Unsuc- 

cessful 

Cases. 


i 

j Total. 


in 

Columns 
4 and 5. 


Column 1. 


2. 


3. 


1 4. 


5. 


6. 


PROVINCE OF LEINSTER. 












County or Caulow. 












Carlow, 


7 


• 


7 


729 


736 


County or Dublin. 












Balrotherv, 


20 




20 


571 


591 


Dublm, North 


91 


10 


101 


1,425 


l,S2o 


Dublin, South, .... 


112 


9 


121 


2,468 


2j589 


Rathdowii, 


14 


2 


16 


1,110 


L126 


County or Kildaiie. 












Athy, 


15 




15 


475 


490 


Celbridge, 


12 


1 


13 


352 


365 


Naas, . . . 


30 


. 


30 


600 


630 


County or Kilkenny. 












CaUan, 


23 




23 


154 


177 


Castlecomer, .... 


14 


. 


14 


678 


692 


Kilkenny, 


19 


. 


19 


357 


376 


Thomastown, .... 


27 


4 


31 


595 


626 


Urlingtbrd 


3 


. 


3 


439 


442 


King’s County. 












Edenderry, ..... 


33 


2 


35 


326 


361 


Parsonstown, .... 


42 


5 


47 


847 


894 


TuUamore, 


15 


* 


15 


560 


575 


County or Longtord. 












Ballymahon, .... 


25 


13 


38 


138 


176 


Granai’d, 


11 


1 


12 


765 


777 


Longford, 


19 




19 


500 


519 


County or Louth. 












Ardee, 


8 




8 


735 


743 


Drogheda, 


13 


J 


14 


838 


852 


Dundalk, 


21 


« 


21 


1,407 


1,428 


County or Meath. 












Dunshaiighlin, .... 


13 




13 


310 


323 


Kells 


15 




15 


147 


162 


Navan, ..... 

Oldcastic, 


19 




19 


253 


272 


13 




13 


121 


134 


Trim, 


20 


2 


22 


129 


151 










[contimed, \ 



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No. 4.] Vaccination Returns. 7? 



No. 4. — Return of Number of Persons Vaccinated — continued. 



Name op Union. 


Number Vaccinated in 
Workhouses by the 
Medical Oihccrathoroof. 


No. of 
Cases of 
Vaccina- 
tion by 


Total No. 
of Cases 


Sue* 

cessful 

Cases. 


Unsuc- 

cessful 

Cases. 


Total. 


Medical 
Officers of 
Dispensary 
Districts. 


in 

Columns 
4 and 5. 


Colurau 1. 


2. 


8. 


4. 


5. 


G. 


PROVINCE OF LEINSTER— 
continued. 

Queen’s County. 












Abbeyleix, . . . , . 

Donagbmore, .... 


12 


. 


12 


718 


730 


8 


2 


10 


370 


.380 


Mountmelliek, . . . 


9 


1 


10 


500 


510 


County op Westmeath. 
Atblone, 


30 




30 


640 


670 


Castlctowndelvin, 


12 


, 


12 


112 


124 


Mullingar, ..... 


14 


• 


14 


467 


481 


County op Wexpord. 












Enniseorthy, .... 


60 


8 


68 


1,683 


1,751 

1,887 


Gorey, 


49 


7 


56 


1,831 


New Ross, . 


36 


5 


41 


817 


858 


Wexford, . . . . 


46 


• 


46 


1,039 


1,085 


County op Wicklow. 












Baltinglass, 


8 


, 


8 


370 


378 


Ratbdrum, ..... 


26 


3 


29 


1,053 


1,082 


SMUelagh, 


7 


1 


8 


375 


383 


Total, Leinster, . 


971 


77 


00 

o 


27,004 


28,052 


PROVINCE OF ULSTER. 












County op Antrim. 












Antrim, 


25 


, 


25 


609 


634 


Ballycastle, ..... 


6 


. 


6 


308 


314 


Ballymena, . . . . 


61 


. 


51 


681 


732 


Ballymoney, .... 


10 


1 


U 


182 


193 


Belfast, 


138 


18 


156 


970 


1,126 


Larne, 


12 




12 


490 


502 


Lisburn, ..... 


2 


5 


7 


1,100 


1,107 


County op Armagh. 
Armagh, 


42 




42 


750 


792 


Lurgan, 


30 


2 


32 


288 


320 


County op Cavan. 












BaUieborougb, . . . 


ri 


• 


1 


255 


256 


Bawnboy, . . ... 


13 


2 


15 


35 


50 


Cavan, 


12 


7 


19 


429 


448 


Cootehill, 


20 




20 


545 


565 










[continued^ ' 



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18 



Tabular Returns. 



[App. B. 

No. 4. — Return of Number of Persons "VACoiNATEn— cowfonwed 



Nami5 of Union. 




Number Vaccinated in 
W orkhouses by the 
Medical Oflloors thereof. 


No. of 
Cases of 
Vaccina- 
tion by 
Medical 
Officers of 
Dispensary 
Districts. 


ToUl No. 
of Cases 
returned 
in 

Columns 
4 and 5. 




Suc- 

cessful 

Casoa. 


Unsuc- 

cossful 

Cases. 


Total. 


Column 1. 




2. 


3. 


4. 


5. 


6, 


PROVINCE OF ULSTER- 














continued. 

County or Donegai.. 














Ballyshannon, 




3 


. 


3 


456 


459 


Donegal, .... 




2 


. 


2 


191 


193 


Dunfanaghy, 




9 




9 


73 


82 


Glenties, .... 




6 


2 


8 


360 


368 


Inisbowen, .... 




6 


. 


6 


325 


831 


Letterkennv, 




5 


. 


5 


220 


225 


Milford, .... 
Stranorlar, .... 




13 


1 


14 


866 


880 


• 


• 


• 




501 


SOI 


County op Down. 














Baubridge, .... 




20 


5 


31 


230 


261 


Downpatrick, 




13 


3 


10 


524 


540 


Kilkeel 




4 


1 


5 


346 


351 


Neivry, .... 




34 


. 


34 


1,090 


1,130 


Newtownards, 




13 


- 


13 


644 


657 


County op Fermanagh. 














EnniskiRen, 




21 


12 


33 


264 


297 


Lisnaskea, .... 




9 


4 


13 


450 


463 


Lowtberstown, . 


• 


6 


• 


6 


350 


356 


County op Londondeiwy. 














Coleraine, .... 




, 




* 


518 


518 


Londonderry, 


, 


42 


8 


SO 


685 


735 


Magberafelt, 


. 


4 


1 


5 


289 


294 


Newtownlimavady, 




4 


■ 


4 


295 


299 


County op Monaghan. 














Carrickmacross, . 




11 




11 


403 


414 


Castleblayney, 




14 


3 


17 


711 


728 


Clones, .... 




6 


2 


8 


355 


363 


Monagban, . , . . 


• 


12 




12 


502 


514 


County op Tyrone. 














Castlederg, .... 




5 




S 


308 


313 


Clogber, .... 




8 


1 


9 


578 


587 


Cookstowii, .... 




3 


• • 


3 


777 


780 


Dungannon, 




20 


5 


25 


362 


387 


Gortin, .... 




3 


• .. 


3 


75 


78 


Omagb, .... 




17 




17 


298 


315 


Strabane, .... 




22 


• 


22 


507 

. 


529 


Total, Ulster, . . 


• 


703 


83 


786 


20,201 


20,987 



[cantimed. 



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No. 4.] Vaccination Returns. 79 

No. 4. — Beturn of Number of Persons Vaooinated — continued. 



Name of Union. 



Column 1. 



PROVINCE OF CONNAUGHT. 

County op Galway. 
Ballinasloe, .... 

Cli’fden, 

Galway, ..... 
Glennamaddy, , . . 

Gort, 

Lougbrea 

Mount BeUew, . . . . 

Oughterard, 

Portumna, . 

Tuam, 



County op Lexteim. 
Carrick-Qn-Shanaon, . 
ManorhamEton, . . 

Mohill, 



County op Mato. 
Ballina, . 

Ballinrobe, . 

Belmnllet, . 

Castlebar, . 

Claremorrig, 

KUlala, 

Newport, 

Swineford, . . • . 

Westport, . 



Counts’ op Roscommon. 
Boyle, ... . 

Castlerea 

Roscommon, 

Strokestown, 



County op Sligo. 
Dromore, W est, . 

Sligo, 

Toberourry, , 

Total, Connaught, 



Number V aocinated in 
Workhouses b 7 the 
Medical Officers thereof. 


No. of 
Gases of 
Vaccina- 
tion by 
Medical 
Officers of 
Dispensary 
Districts. 


Total No. 
of Cases 
returned 
in 

Columns 
4 and 5. 


Suc- 

cessful 

Gases. 


Unsuo- 

cossful 

Cases. 


Total. 


2. 


3. 


4. 


6 . 


mm 


29 


2 


31 


459 


490 


28 




28 


712 


740 


43 


7 


50 


213 


263 


39 


, 


39 


. 48 


87 


19 


4 


23 


127 


ISO 


12 


5 


17 


211 


228 


11 


d 


17 


74 


91 


. 


, 




29 


29 


13 


4 


17 


186 


203 


23 


3 


26 


150 


176 


14 




14 


142 


156 


23 


1 


24 


323 


347 


7 


2 


9 


67 


76 


19 


2 


21 


428 


449 


5 


, 


5 


17 


22 


5 




6 


11 


16 


6 


* 


6 


124 


130 


19 




19 


24 


43 


. 


, 




96 


96 


2 




2 


48 


SO 


5 


1 


6 


46 


52 


9 


2 


11 


129 


140 


7 




7 


205 


212 


28 


3 


31 


147 


178 


28 


1 


29 


659 


688 


22 


» 


22 


96 


118 


2 




2 


1,007 


1,009 


31 


3 


34 


685 


719 


• 


2 


2 


81 


83 


449 


48 


497 


6,544 


7,041 



[continued. 



Printed image digitised by the University of Southampton Library Digitisation Unit 






Tahular Returns. 



80 



[App, T3. 



No. 4. — Retuen of Number of Persons Vaccinated— 



Name of Uniojv. 


Nnmlior Vaccinated in 
Workliouaos by tho 
ifodioal Oili cure thereof. 


No. of 1 
Cases of 
Vaccina- 
tion by 
Medical 
OfRccra of 
D ispcn.qary 
Districts. 


Total No. 
of Cases 
rotumod 
in 

Columns 
4 and 5. 


1 

Sue- , 
Cnacs. 


U nsuc- 
coasi'ul 
Cases. 


Total. 


Column 1. 


2. 


3. 


4. 


5. 


C. 


PROVINCE OF MUNSTER. 
County or Clakk. 












BallyvagLnn, .... 


5 




5 


19 


24 


Corrofin, 


8 


2 


10 


84 


94 


Ennis, 


27 


1 


28 


424 


452 


Ennistymon, .... 


, 


6 


6 


142 


148 


Killadj-sert, .... 


43 


1 


44 


30 


74 


Kilrusli, ..... 


05 




65 


706 


771 


Scariff, 


12 




12 


173 


185 


Tulla 


10 


• 


10 


201 


211 


County op Come. 












Bandon, 


1 


1 


2 


585 


587 


Bantry, 


IS 




18 


14 


32 


Castletown, .... 


4 




4 


299 


303 


Clonakilty, .... 


22 




22 


237 


259 


Cork, 


41 


8 


49 


2,810 


2,859 


Dunraanway, .... 


10 




10 


203 


213 


Fermoy, 


26 


1 


27 


1,644 


1,671 


Kanturk 


33 


16 


49 


748 


797 


Kinsale, 


23 


3 


26 


521 


547 


Macroom, ..... 


33 


5 


38 


850 


888 


Mallow, 


126 


36 


162 


262 


424 


Midleton, 


116 


. 


116 


1,172 


1,288 


Millstreet, 


11 


14 


25 


328 


353 


Mitckclstown, .... 


17 




17 


241 


258 


Skibbereen, .... 


20 


2 


22 


167 


189 


Skull, 


5 


. 


5 


69 


74 


Youghal, ..... 
County of Iverey. 


30 




30 


569 

■9 


599 


Caberciveeii, .... 


32 


1 


33 


1,248 


1,281 


Dingle, . . . . . 


19 


5 


24 


•733 


757 


Kenmaro, .. . . . . 


20 




20 


636 


656 


Killarnp.y, ..... 


25 




25 


2,203 


2,228 


Listowel, . . . . 


20 


6 


26 


1,736 


1,762 


Tralee, 


79 


6 


85 


1,968 


2,053 


County op Limerick. 










691 


Croom, . . . . . 


46 




46 


645 


Glin, 


11 


5 


16 


418 


434 


Kilmalloek, . . . . 


15 


22 


37 


638 


575 


Limerick, 


119 


25 


144 


431 


575 


Newcastle, ..... 


61 


8 


69 


1,063 


1,132 


Rathkeale, ..... 


4 


5 


9 


769 

[coi 


778 

itlnued. 



Printed image digitised by the University of Southampton Library Digitisation Unit 




No. 4.] Vaccination Returns. 81 



No. 4. — Kbtuen of Number of Persons Vaooinated — contvnmd. 



Name of Union*. 


Number Vaccinated in 
Workliouacs by the 
Medical Officora thereof. 


No. of 
Cases of 
Vaccina- 
tion by 
Medical 
Officers of 
Dispensary 
Districts. 


] 

Total No. 
of Cases 
returned 
in 

Columns 
4 and 0. 


Suc- 

coasful 

Cases. 


Un.su c- 
cessful 
CasQ.s. 


Total. 


Coluom 1. 


2. 


3. 


4. 


6. 


6. 


PROVINCE OF MUNSTER— 












oo7itinued. 












County or Tipperary. 












Borrisokane, . . 


7 




7 


156 


163 


Garrick- on- Suir, 


2*2 




22 


534 


556 


Cashel, . . . . 


24 




24 


187 


211 


Clogheeu, 


15 


6 


21 


335 


356 


Clonmel, 


43 




43 


977 


1,020 


Nenagh; 


46 




46 


291 


337 


Roscrea, ..... 


15 


9 


24 


172 


196 


Thurles, 


29 


3 


32 


115 


147 


Tipperary, ...... 


18 


2 


20 


402 


422 


County or Waterpoiid. 












Dungarvan, .... 


25 


10 


35 


708 


743 


Kilmacthomas, .... 


12 


4 


16 


533 


549 


LIsmore, 


10 


. 


10 


233 


243 


Waterford, . . . . 


64 


15 


79 


853 


932 


Total, Munster, 


1,487 


228 


1,715 


30,382 


32,097 


Summary. 


Leinster, 


971 


77 


I 

1,048 


27,004 


28,062 


UnSTBB, 


703 


83 


786 


20,201 


20,987 


Connaught, .... 


449 


48 


497' 


6,544 


7,041 


Munster, . . . . 


1,487 


228 


1,715 


30,382 


32,097 


Total, Ireland, 


3,610 


436 


4,046 


84,131 


88,177 



Printed image digitised by the University of Southampton Library Digitisation Unit 







82 



Index to Unions. 



[App. B. 

No. 5. — Index List of Unions; with Names of Counties in whicli 
they arc situate, and Reeerenoes to Pages in wliich the Unions 
are to be found in the Appendix. 







Roforoncog to | 


Unions, 


Counties in which situate. 


Dispensary Districts* 
Statistical Table ; 
App. B, No. 1. 


Dispensaries’ Finan- 
cial and Belief Table ; 
App. B, No. 2. 


O 

'I'* 

H o 

In" 

•5 a, 

<4 

>• 


Abbeyloix, 


Queen’s, 


Pago 


Pago 

38 


Page 

77 


Antrim, . 


Antrim, ..... 




42 


77 


Anlee, 


Louth, Meath, .... 




3G 


76 


Ariiuigli, , 


Annafih, Tyrone, 




44 


77 


Athlonc, , 


Westmeath, Boscommon, . 




39 


77 


Athy, 


Kildare, Queen’s, 




32. 


76 


Bailieliorougli, . 


Cavan, 

Mayo, Sligo, .... 
Galway, Roscommon, 




45 


77 


Ballina, , . 




57 


79 


Ballinasloc, 




54 


79 


Ballinrobe, 


Mayo, Galway, .... 




57 


79 


Ballycastle, 


Antrim, ..... 
Longford, Westmeath, 




42 


77 


Ballymahon, 




35 


76 


Ballymena, 


Antrim, 

Antrim, Londonderry, . * 




43 


77 


Ballymoney, 




43 


77 


Ballyslmnnon, . 


Donegai, Fennanagli, Leitrim, . 




46 


78 


Ballyvaghan, 


Clare, ..... 




60 


80 


Balrotbeiy, 


Dublin, 




31 


76 


Bdtiiiglass, 

Banbndge, 


Wicklow, Kildare, Carlow, 




41 


77 


Down, Armagh, . . , 




48 


78 


Baiulon, . 


Cork, 




62 


80 


Bantry, 


Cork, 




62 


80 


Bawiboy, . 


Cav.aii, Leitrim, 




45 


77 


Belfast, 


Antrim, Down, .... 




43 


77 


Bolmullet, 


Mayo, 




57 


79 


Borrisokane, 


Tipiierary, 




69 


81 


Boyle, 


Koscommon, Sligo, . . , 




58 


79 


Oalierciveen, 


Keriy, 




66 


80 


Callan, . . . 


Kilkenny, I'ipperary, . 




33 


76 


Carlow, 


Carlow, Queen’s, Kildare, . 


27 


30 


76 


Carriekmacross, . 


Monaghan, .... 




51 


78 


Carrick-on-Sbannon, . 


Leitrim, Roscommon, 




56 


79 


Carrlck-on-Suir, 


Tipperary, Waterford, 




69 


81 


Casliel, 


Tipperary, 




69 


81 


Castlebar, , 


Mavo, 




hi 


79 


Castleblayney, . 


Monaghan, Annagh, . 




51 


78 


Castlecomer, 


Kilkenny, 




33 


76 


CastlederK, 


Tyrone, 




52 


78 


Castlerea, . 
Castletown, 


Roscommon, Mayo, . 




59 


79 


Cork, 




62 


80 


Castlotowndelvin, 


Westmeath, Meath, . . 




39 


77 


Cavan, . 


Cavan, 




45 


77 


Oelbridge, . • 


Kildare, Dublin, Meath, 


28 


33 


76 


Claremorris, 


Mayo, ..... 




57 


79 


Cliftlen, 


Galway, Mayo, .... 


29 


54 


79 


Clogheen, . 
Clogber, . 
Clonakilty, 
Clones, 
Clonmel, . 


Tipperary, Waterford, 

Tyrone, Monaghan, . 

Cork, ..... 

Monaghan, Fermanagh, « 
Tipperary, Waterford, . , 


69 
52 
62 
51 

70 

[cmi 


81 

78 

80 

78 

81 

imted. 



Printed image digitised by the University of Southampton Library Digitisation Unit 



No. 6.] 



Jindex to Unions, 



83 









Roforenooa to j 








I- 

.s « • 




9 


Unions. 


COUNXXBB IN WHICH SITUATE. 


Dispensary Distr 
Statistical Tab] 
A pp. B, No. 1 


"sSk 

liS« 


■S'** 

B © 








O.S ^ 
p.l 


‘S S 
> 


Coleraine, , , 


Londonderry, Antrim, 




Pago 


Page 

50 


Page 

78 


Cookstown, 


Tyrone, 






S3 


78 


Cootehill, . 


Oavan, Monaghan, . 






45 


77 


Cork, . . 


Cork, 






63 


80 


Corrofin, • 


Clare, 




. 28 


60 


80 


Croom, 


Limerick, . ... 






67 


80 


Dingle, , 


Kerry, . , . 






66 


80 


Donaghmore, 


Queen*s, • . . 






.88 


77 


Donegal, . . 


Donegal, . 






46 


78 


Downpatrick, . 


Down, 






48 


78 


Drogheda. . 


Louth, Meath, . 






36 


76 


Dromore West, . 


Sligo, 






59 


79 


Dublin, North, . • 


Dublin, 






31 


76 


Dublin, South, . 


Dublin, 






31 


76 


Dundalk, , . . 


Louth, Armagh, Monaghan, 




37 


76 


Dunfanaghy, 


Donegal, . 


. 




46 


78 


Dungannon, , 


T^one, . . , 

Waterford, , 


, . 




S3 


78 


Duugarvan, 






71 


81 


Duuman-way, « 


Cork, 






63 


80 


Dunshaughlin, . 


Meath, Dublin, . 


• 




37 


76 


Edenderry, . 


King's, Meath, Kildare, 






.85 


76 


Ennis, 


Clare, 


, , 




60 


80 


Enniscorthy, 


"W exford, Carlow, 


. 




40 


77 


Enniskillen, 


Fermanagh, Cavan, Tyrone, 




49 


78 


Ennistymon, ♦ 


Clare, . . • 


• 




61 


80 


Permoy, . 


Cork, . . . 


• 


• 


63 


80 


Galway, . • 


Galway, . 




28 


54 


79 


Glennamaddy, . 


Galway, Roscommon, 






56 


79 


Q-lenties, . 


Donegal, . . . 


. 




47 


78 


Glin, 


Limerick, Kerry, 






67 


80 


Gorey, 


Wexford, . 


. ^ 




40 


77 


Gort, . , 


Galway, Clare, . 






55 


79 


Gortin, 


Tyrone, 


. , 




53 


78 


Grauard, . 


Longford, Cavan, Westmeath, . 




35 


76 


Inisliowen, 


Donegal, . • • 


• 




47 


78 


Kanburk, , 


Cork, Limerick, . 






63 


80 


Kells, 


Meath, Cavan, . 
Kerry, 






37 


76 


Kenmare, * « 






67 


80 


Kilkeel, . 


Down, . . 

Kilkenny, , 






48 


78 


Kilkenny, . 






34 


76 


Killadysert, 


Clare, 






61 


80 


Killala, 

Killamey, . , 


Mayo, , . ♦ 






67 


79 


Kerry, . • 






67 


80 


Kilmacthomas, . > 


Waterford, 






71 


81 


Kilmallook, 


Limerick, Cork, 






68 


80 


Kilrush, . 


Clare, . . . 






61 


80 


Kinsale, . 


Cork, 






64 


80 


Larne, 


Antrim, . . • 


. 




43 


77 


Letterkenny, 


Donegal, . * . 


. . 




47 


78 


Limeiick, . . 


Limerick, Clare, 


• • 




68 


80 






[continued, | 



Printed image digitised by the University of Southampton Library Digitisation Unit 




84 



Index to Unions. 



[App. B. 




Lisbuni, . 
Lismoi'o, . 
Lisimsktia, 
Listo^ 

Londoiidorry, 
Longford, . 
Louglu'ea, . 
Lowtherfcto-svn, 
Lurgmi, 

Maci'oom, . 
MaglierafeU, 
Mallo 
Mano; 

Midle 
jMilfo] 
Alillstreet, 
Mitcliolstowii, 
MoliiH, . 
Monaglian, 
Mount Bellow, 
Mountmelliok, 
Mullingar, 



Naas, 

Navan, 

Ncuagh, . 
Newcastle, 
Newport, , 

New Ross, 

Newiy, 

Newtownards, . 
Newtownlinmvady, 

Oldcastle, . 



Ougliterard, 

Parsonstown. 

Portumim, 

Ratlidowu, 

Rathdruin, 

Rathkeale, 

Roscormnou, 

Roscrea, 

Scarift', 

Shillelagh, 

Skibbereeu, 

Skull, 

Sligo, 

Strabanc, . 

Strauorlar, 

Strokestown, 

Swiueford, 

Thomaatown, 



. Antrim, Down, . 

. 'Waterford, Cork, 

. Fermanagh, 

Kerry, . . , . 

. I Lomlondorry, Donegal, 

. Longford, .... 

. I Galway, .... 

. ! Forinangh, Tyi-one, . 

. ! Armagh, Antrim, Down, . 

. ■ Cork, . . . . 

. ' Londonderry, . . . 

Cork, . . . , 

Leitrim, . . . . 

Cork, - . ♦ . 

Donegal, .... 

. Cork, . . . . 

. Cork, Limerick, 

. Leitrim, .... 

. I Monaghan, 

. i Galway, .... 

. I Queen’s, King's, 

. "Westmeath, 

. Kildare, Wicklow, 

. Meath, .... 

. Tipperary, 

. Limerick, . . . . 

. Mayo, . . . . 

. AVexford, Kilkenny, Carlow 
. Down, Armagh, 

. Down, .... 

. Londonderry, 

. Meath, Cavan, . 

. Tyrone, .... 

. Galway, Mayo, , 

. King's, Tipperary, 

. Galway, . , 

. f Dublin, Wicklow, 

. ; Wicklow, . , , . 

. : Limerick, .... 

. Roscommon, Galway, 

• . Tipperary, King’s, Queen’s, 

. ^ Clare, Galway, . 

. I Wicklow, Carlow, Wexford, 

■ Cork, . . . 

“ ! Cork, .... 

• ■ Sligo, , . , . 

. ' Tyrone, Donegal, 

. Donegal, .... 

. i Eoscomnion, . , 

, ! Mayo, Roscommon, . 

. Kilkenny, . , . , 



I Tago I Page j Page' 



87 76 

53 78 

55 79 I 



'Icontimied. 



Printed image digitised by the University of Southampton Library Digitisation Unit 



No. 5.3 Index to Unions. 85 









Kefereuecs to j 


Unions, 


Counties in which situate. 


Dispensary Districts’ 
Statistic^ TaWe ; 
App. B, No, 1. 


Dispensaries’ Finan- 
cial and Relief Table ; 
App. B, No. 2. 


0 

.1 ci- 

0 

- 


Thurles, 

Tipperary, 

Tobercurry, 

Tralee, 

Trim, 

Tuam, 

Tulla, . 

Tullamore, 


Tipperary, . 

Tipperary, Limerick, . 
Sligo, 

Keriy, 

Meath, 

Galway, . 

Clare, 

King’s, Westmeath, , 


• 


Tag© 

• 


Pago 

71 

71 

(>0 

67 

3» 

56 

Cl 

35 


Page 

81 

81 

70 

80 

76 

79 

80 
76 


Urliogford, . , 


Kilkenny, Tipperaiy, . 






34 


76 


Waterford, 
Westport, . 
Wexford, , 


Waterford, Kilkenny, 
Mayo, 

Wexford, . 


* 


• 


72 

58 

41 


81 

79 

77 


Youglial, . , 


Cork, Waterford, 


' 


■ 


66 


80 




Printed image digitised by the University of Southampton Library Digitisation Unit 





8G Index to Dispensary Districts. [App. g 

No. G.— Index List of Dispensahy Districts; witli Names of Dnioss 
in which they aro situate, and Ubferenoes to Pages in which the 
Districts aro to he found in tlio Appendix. 





' 


Kffi'rcHcpH to 


NxMita 

ot 

SiSPBKSAIlV 


TiNtoKa 

Ih whk'li Mtimte. 


6 

S a. 
P'S Q. 

~ :o 

M 


II 

sfl'i 

. <- o 
C‘5 o< 

53 


Aliliey, 


Tiumi, 


Pago 


Pago 

ot) 


Ahbevloale, 


Nowcustlo, 


_ 


i)H 


Abboyluix, 
Abhevfilirulo, , 


.-Vbbeyloix, 


_ 


\\H 


BaUymaUon, . 


_ 




Acliili, 


NowiJort, , 


- 


r>H 


Aclave, 

Affliada, 


Groom, 


_ 


117 


Midletou, . 


_ 




AKlmrtowey. 


Cobmiino, 


- 




Afflialuo, . 


JiiU'Kau, . 




•la 


AuoBcrnKli, 


Ballimmloo, 


_ 


51 


AhogLill, . 


Ballymomi, 


” 




Aimmoo, . 


Ratlidnim, 






Amiucarrigii, 


Scarin- . 




t;i 


Aunacotty,. 


r.imcrielv, . 


_ 


tks 


Aimahilt, . 


Liulnirn, . 


_ 


•11 


Autnin, 


Antrim, 




12 


Ardagli, 


Nowcasllo, 


- 


1)8 


Ardoo, 


Ardoo, 




:m 


Ardfei't, 


'I'rakm, 




f>7 


Ardilmiati, . . 


Ologhmni, 




t»o 


Ardmero, . 


Dnugarvttii, 


_ 


71 


Ardinore, . 


YougUid, . 


«• 


(it) 


Ai’lUow, 


Kallidniin, 


- 


•a 


Annngli, . 


•Anmigli, . 




•1-1 


Arrim, 


(•idwnv, . 




51 


Aftieliive, . 


Colorainu, 


... 


50 


Ai'vtigb, 
Aaliforil, . 


Ctivan, 


_ 


15 


lltitliilruni. 




•a 


Askoatou, . 


llutUkeub,*, 


- 


GS) 


Athlioy, 


Trim, 

Lougiiroa, 


- 


liH 


Atheiiry, 


- 




AUileiigiio, . 


lloacommoa, . 


_ 


.•■.o 


Athlone, , 


Atblono, . 




‘M) 


Athv, . 


A thy. 


_ 


82 


Anghiiuoloy, 


Cloglier, . 


- 


5t> 


Auglirim, . 


Carrick-on- 

Sbfinnoii, 




50 


Auglirini, » 
Aweixttscalo, , 


Ilatlidrum, , 




11 


Dingle, 


- 


no 


Bageiialstown, . 


Carlow, 

Bailieborouffli. 


_ 


ni 


Hiiilieborough, . 


- 


15 


BftlbnggttB, 


Bah’otlierv. 


- 


81 


Balia, . 


Castlebar, , 




57 


Biillafflinderreeii. 


Costlerea, 


_ 


51) 


Hulleen, 


Urliuglbrd, 


- 


84 


Brtllickmoyler 








and Newtown, . 


Carlow, 


27 


81 


Bnllina, 


Ballimi, . * 




57 


Bullmakill, 


Abbeyleix, 


— 


88 


Bolliuiileo, , 


Gitmard, . 




35 


BaJlinamoen, 


Bovle, , , 


_ 


50 


Ballinamore, 


Bawnboy, . 


- 


15 


BalllnasloG, . 


B allinasloe, 




54 


Bnlliucoliig, 


C ork, 


- 


83 


BallincleiTeon, . 


Gort, 


- 


55 







Iteferences to 


Namts 

insPlIKHAItV 

JhftTinCTS. 


Ukions 

111 which situate. 


1- 

I|g 

ir 

n 


3 ® 

N * 

It'S Q, 


Ballindino, 


Claremorris. . 


Page 


Pago 


Balliiigarry, 


Callaii, . . 


_ 




BuUiiirobo, 


Ballinrobe, 




57 


BnlHntrn, . 


Bollyslinnuon. . 






nullybay, . 


Caatleblavuev.. 


_ 


51 


Bnllyboggan. 


KiUmdeny, 


- 


35 


IJtillvourrv, 


Lanio, 


_ 


43 


BnllycaHtle, 


.flallycastle. 


_ 


42 


nnllyiaiMtlo, 


Xillala, 


- 


57 


Ballvelogh, 


Mallow, . 




64 


Btillyoouncll, 


Bawnbov, . 


_ 


45 


Bnllvcroy, . 


Newport, . 


- 


58 


HtdlydnlV, . 


Lismore, . 


_ 


71 


Bnllydiiir, . 


lAstowel, , 


_ 


67 


Bnllyftau’d, 


Kiaaale, . , 


- 


64 


Bullygarvan, 


Cork, . , 


_ 


63 


Baliygjiwloy, 


Clogher, . 


_ 


52 


Ballvgonnirtiu, . 


Belfast, . 




43 


Bullyltaise, 


Cavan, 


_ 


45 


BaUvhauuis, 


ClaYGmori'is, . 


_ 


57 


Ballyliooly, 


Fermoy, . 


- 


■ 


BullyinmcHduir, . 


Oldcastle, 




37 


Ballykollv, . . 


N.-T.-Iiimavadv. 


- 


51 


BnllYleaKuo, 


lluacommou, . 


- 


59 


Bnllylosson, 


Lisburn, , 


- 


44 


Bullylougford, . 


Listowel, . 


- 


67 


BnJlylynan, 


Athy, . . 


- 


32 


Bullymacarbi'Y, . 


Clonmel, . 


_ 


70 


BallymaeaiTett, 


Belfast, . , 


- 


43 


Ballymagran, . 


Dungannon, . 


- 


53 


Biillvmiilion, 


BallymoIioD. , 


“ 


35 


Ballymartle, 


Iviusalo^ . 


- 


64 


Bullyinena, 


Ballymena, 


" 


43 


BnllvmoneY, 


Bally money, , 


- 


43 


Bailymore, 


Ballymabon, . 


- 


35 


Bnllvmote, . 


Sligo, 


- 


59 


Biillynacally, 


Killadyeert, . 


- 


61 


BfUls’iincaiigy, . 


Mullingai’, 


- 


39 


Bullyuabincli, . 


Downpatrick, . 


" 




Bnllynoe, . 


Fermoy, . . 


- 


63 


Ballynure, « 


Larue^ 


- 




Bollyporoen, . 


Cloglieen, . 


- 




BallYi’ngget, 


Castlecomer, . 


- 




BallYroan, « 


Abbeyleis, 


- 




Ballysliannon, . 


Ballyshonnon, , 


“ 




BallvYaglmD, 


BoJlyyagbaii, - 


- 


H 


Bfillyward, . 


Bonbridge, 


- 


■9 


Br.ltiuglass, 


Baltinglaea, 


- 




Bnuaglier, . 


Parsonatown, . 


" 




Banbridgo, 


Banbi'iclge, 






Bandon, 


Bandon, . 


** 






Belmnllet, 


- 


Bl 


Bangor, 
Baunow, . 


Newtoivnards, • 
Wexford, . 


Iconti 


VJ 

1 41 1 
nml> 



Printed image digitised by the University of Southampton Library Digitisation Unit 




JTo. 6.] 



Index to Dispensary Districts- 



87 



Nambs 

of 

Dupsnsarv 

DlflTRICTa. 


UNiotfi 

in which situate. 


Befereuces to 


Namss 

of 

PiSPBNaARV 

!DiSTRIOT6. 


Unioks 

in which situate. 


References to | 


42 .. 

iis'" 

?iso' 
S3 ^ 
S-Jg 


§1 

6 

is«: 

g'd g 

s| 


lli 

||« 
11 ^ 

1“ 


!««' 

Ill 

63 






Pago 


Page 








Page 


Basslia, 


Tinperai’v, 


- 


71 


Carriokfergus, . 


Laame, . , 




43 


Banti 7 , 


Banti*y, , 


- 


62 


Caiuickmacross, 


Carnckmaoross 


_ 


61 


Barronstowu, . 


Dundallt* . 




37 


















Caiiick-on-Suir, 


Oarriok-on-Suir 


_ 


60 


Belfast, 


Belfast, 




43 


Cavrifiaholt, , 


Kilrush, . 




61 


Bellafiliy, . 


Maglierafelt, . 


- 


51 


Canigaline, 


Cork, 


- 


64 


BellananaRli, 


Cavan. , 


- 


45 


Carrigaline, 


Einsale, . 




63 


Ballarena, . 


;^.-T.-Limavady, 


_ 


51 


Cai*rigallen, . 


Mohill, . 


_ 


57 


Belleek, . . 


Ballvshannon, . 


- 


46 


CoiTigbyme, • 


New Ross, 




41 


Belturbet, . 


Cavan, 


_ 


45 


















Carrignavai', 


Cork, 


_ 


03 


Benburb, . 


Dungannon, 




53 


Cashel, . . 


Cashel, 


_ 


69 


Binphamstown. . 


Belmullet, , 




57 


Castlebai', . 


Castlebar, « 


_ 


57 


Blackrock and 








Castlebellingham 


Ardee, 


_ 


36 


Stillorgan, 


Rathdotvn, . 


- 


32 


Castleblaynev, . 


Castleblaynev, . 


- 


51 


Blackwatoi'town, 


Armagh, , 




44 


Castlecomer, 


Castlecomer, . 


_ 


33 


Blancbardstown 
















& Castleknook, 


North Dublin, . 


_ 


31 


Castle Connor, . 


Dromore West, 


_ 


50 










Castle derg and 








Blai*uey, 


Cork, . , 


- 


63 


Killeter, . 


Castlederg, 


- 


52 


BlessiufHou and 








Castledermott, . 


Athy, 


- 


32 


BoUviaore. 


Naas, 




33 


Castle Finn, 


Strabane, . 


28 


53 


Boherboy, . 


Kaniuik, . ♦ 


- 


63 


Oastlegi’egory, . 


Dingle, . 


- 


66 


Bonis, 


Carlow, 




30 


Castle Island, . 


Tralee, 


— 


67 


Bonis-ia-Ossory, 


Donagbmore, . 


- 


3S 


















Castlemartyr, . 


Vlidleton,. 




65 


Boriisokane, 


Borrisokane, . 


- 


69 


Castlepliinket, . 


Hastlerea, . 




59 


Borriaoleigh, . 


Thiirles, . 


- 


71 


CastlepoUai’d, . 


Castle-T.-Delvin 


- 


39 


Bourney, . 


Roscrea, . 


- 


70 


Castle Quarter, . 


Ballvmoney. 


- 


43 


Boyle, 


Boyle, 


- 


58 


Oastlerea, . . 


IJastlerea, 




59 


Bi’ay and Rath- 








Castleshane, 


Monaghan, 


- 


52 




Rathdown, 


- 


32 


















Castletown, 


Abbeyleix, 


- 


3R 




Athlone, . 


- 


39 


Castletown, 


Castletown, 


- 


62 


Bridpetown, 


Limerick,, 


- 


68 


Castletown, 


Croom, 


- 


67 


Bvidpetown. 


Wexford, , 




41 


Castletown, 


Navan, . . 


— 


37 


Broadford, . 


Newcastle, . 


- 


69 


C astl etowndelvin 


Castle-T.-Delvin 


- 


39 


Broadway, . 


Wexford, . 


- 


41 


Castletown Geo* 








Brookeborougb, 


Lisnaekea, 


- 


49 


ghegan, , 


Mullingar, 




39 


Brosna, 


Tralee, 


_ 


67 


Cavan, 


Cavan, . . 


_ 


.45 


Brouffhsliane, 


Ballymena, 


- 


43 


Celbridge, . 


Celbridge, 


- 


33 




Kilmallock, 


_ 


68 


Charleville, 


Kilmallock, 


— 


68 




Kilmallook, 


_ 


68 


Church Hill, 


Ballvshannon, , 


- 


46 




Kilkeel, • 




48 


Clmrclihill, 


Letteikenny, . 


- 


47 




Loughrea, 


- 


55 


Clane and Tima- 
















hoe Noi-tb, 


Naas, 


- 


33 




Inishowen, 


- 


47 










Bart. * . 


LondonderiT, 


- 


50 


Clara, . 


Tullamore, 


- 


35 




Coleraine, 


_ 


50 


Ciaremorris, 


Ciaremorris, . 


- 


67 






_ 


64 


Clarina, 


Litneriek, , 


- 


68 










Clashmore, 


Youghal, . 


— 


66 




Caherciveen, 


_ 


66 


Claudy, . . 


Londondeny, . 


- 


50 


Caber, 


Clopheen, 


39 


09 


Olifden, 


Olifden, . 


- 


54 




Limerick, 


_ 


08 












Armagh, . 


_ 


44 


Clogh, 


BaUymena, . 


- 


43 






_ 


■33 


Clogban, . , 


Stranorlar, 


28 


47 




Gorey, 




40 


Ciogheen, . 


Ciogheen. 


29 


69 










Clogher, . 


Clogher, . 


— 


52 


Caimaway, . 


Macroom, , 


- 


64 


Ologhjordan, . 


Borrisokane, . 


- 


60 


Cappapb, . 


Tipperary, 


- 


71 


Clonakilty, 


Clonakilty, 


-• 


63 


Oappoquin, 

Oarbuiy, 


Lismore, . 
Edendeny, 


; 


71 

35 


Olonaslee, . 


Mountmeliek, , 


_ 


39 




DundaUr, . 


_ 


37 


Clonavaddy, 


Drmgonnon, . 


- 


53 






_ 


30 


Clonbrock, 


Mormt Eellew, 


- 


56 










Clondolkin, 


Sorrth Dublin, . 


- 


31 


Oamdonapli, 


Inishowen, 




47 


Clonelly, . 


Lowtberstown, 


- 


50 


Carney, 


Sligo, . 


- 


59 


Clones, . . 


Clones, . 


~ 


51 




[Belfast, . 1 


— 


43 












iGlenties, . 




47 


Clonmany, . 


Inishowen, 


- 


47 














icontiimeA. 1 



Printed image digitised by the University of Southampton Library Digitisation Unit 




Index to lyispensary Districts. 



1)IS1‘KNSAIVY 

Dirrnici's. 



IfNIOXS 

hnvhich 



Clonme’, , , Clonmel, . 

CiouinoH«-m, . Ctv<llf.T Uvlvin 

Olonmoylp, . M<u'mom, 

Clourcn^Uf, ♦ Mmiiseurthy, . 

CUnitarf^c Howtli North Dulilu), . 
Glonygowtui, . Mouniim'Hck, . 



Cloonbiir, . 

Cloyuo, 

Couj^lj, 

Coal l;4huul, 
Colemino, . 

Collon, 
ColLoonoy, . 
Combor, 
Ooiiff, . 
CoTinov, 
OoolcstuWH, 



. On»jhiernv«l, 

. r>invnj«‘trk'k, 

. jMidli'ion, . 

. jCook^^lown, 

. 'Diin^Mimun, 

. Colemine, 

. Ai-ili'o, 

. SH}/u, 

. SowtownardH, 
. UalUiirobo, 

. Antrhi), 

. Cookslown, 



Ooolacii‘‘cy, . If.imiTiuk, 

Couhiut’v, . . Tohoivurry, 

Cooluttin and 
Clunegal], . .Shillulayli, 

Cooli*, . . (Jratmnl, , 

Coolgt’oauy, . Ooroy, 

Conllipmio and 
Hackctstown, i^ljillolayh. 



Gooloek and 
Dmincoiidrn, 
Coolruin, . 
Cooni, 

Gootehill, . 
Cork, . 

Cori'ortn, . 

Courcnys, . 
Omgakrkot.dc, 
(.A'aiigli, 

Crongli, 

Cri)um, 

Crosgiif, . 

Crosaabeg, . 

CrosHakeel, 

Cross binip, 

Orossmaglru, 

CroHsmoUna, 

Crossroads, 

Cnimlin, . 
Crusheen, . 
CuIIgh, 
Cusliendall, 

Darrynaue, 
Dawson Grove, . 
Delgany, . 
Den*yUn, . 
Dorvock, . 
Diiiglo, 

Dirvaw, 

Doagh, 
Donagbadoo, 
Oonaghmoro, 
•Donaghmoyne, 
Donegal, , 



Nnrlh Duldin, . 
Moimtmtdick, . 
Ivillaviioy, 
Ouotoliill, . 

Cork. 

OuiTOfm, . 

Ivinsah', . 

ininiHli, . 

Ihdliuusloo, 

nnllycasUe, 

On)om, 

fhinbridge, 

Wexford, . 
OldeasLla,. 
Dailieborongl), 
Onslleblayney, . 
Ballina, ’ . * . 
Dukjfanagby, . 

Antrim, 

I'jiiuis, , 
Millstreet, 
Ballycnatlo, 

Cttborcivoen, . 
Cooteliill, . 
Ilatbdown, 
Lisnaskea, 
BalJymouey, . 
Dinglo, . . 

Ballymouoy, . 
Antrim, . 
Newtownards, , 
Newi*y, 

Carrickraacross, 
Donegal, , 



r 




References to | 


1 l^AMRS 




Is 


^.S 


1 


UKIONg 








in Nvliioh sHuate. 




1 I'lHTKIC-m 




a 


p«' 


I 






§■«<; 

P'S 



-Dmiernilo, . 1 

Dminybrook, 
Ibinghis, . 
I>«iwuii«trick, 
Dmpni'stowu, . 
Dripscy, 

Dru:,dn‘da, . 
UromdidoHguo, . 
Drumiskin, 
Dminorn, , 
Drumorc, . 
Druin, 

DriiiunUnirn, 
Drinneondra, , 
l>rmiike«*ran, 
Dnmilisb, . 
Druuuiuin, 

Drumtjuin, 
Dnnusliamho, , 
Dnh'ok, . 
IJnnlioyuo, 
Dinidaik, . 
Dundrum and 
(iionoullon, . 

Diinlaiiagliy, 
Dungannon, 
Dunganslown, . 
Dmigarvan, 
Dungiven,, 
Dungloo, . 

Dankinofdy, 

.! )iinhxviu, *. 

DtJidetT, . , 

J)unmoro, . 
Dunmore, . 
DunmniT.Yj 

Diumamanagb, . 
D arrow, 

Durrns and Kil* 
croliano, , 
Dyanmnoon, 

Kaskey, 
Edouderry, 
Edorney, . . 

Elnliin, 

Ely. . . . 

Emlagb, 

Emly, . 

Emo, . 

Ennis, 
Enniscoi’tliy, 
Enniskillen, 
Ennistymon, 
Eyrecourt, . 

EanuetL, 

ForIcIo, . . 

Feenagb, . 
Feeny, 

Fonnagb and ? 
Mysuall, . 



South Dublin, . 
Cork, 

Dosvnpatidck, . 
Mughomfelt, . 
Cork, 

Drogheda, 

. Skibbeveeii, , 
Uimdalk, . 
Bunbridge, 
Omagh, . 
Cootebill, . 

M!:mt)rhamilton, 

Avdee, 

. ^ranoi-hamilton, 
Longford, 
Cusllederg, 

. Omagh, . 

Cui'-ou-Hhannon 
. Drogheda, 
Dimshimghliu, 

. Dnikdallc, . 

. Rathdoxvn, 

. Dunfauagby, . 

. Duikgamion, . 

. nathdriim, 

. Duugarvflii, . 

N -'J'.-Tdmavady, 
. Olontios, . 

. Donegal, . 

, Biiltinglass, . 
Ardeo, . . 

Gleunaraaddy, 

. 'ruatn, 

Lisburn, , * 

, Strabane, . 
Abbeyleix, 

. nanti7, . 

. New Ross, 

Dromore, West, 

, Rflenderrj', 
Lowtherstowji, 
Stvokestown, . 

, Enniskillen, . 

. Ottherciveen, . 

. Tipperary, 
Mountmelick, . 

. Ennis, 

, Enniscorfcliy, . 

, Enniskillen, . 

. Ennistymon, . 

, Portumna, 

Bniford, . - 

Scariif, • 
Newcastle, 

, N.-T.-Limavacly, 



leontinued. 



Printed image digitised by the University of Southampton Library Digitisation Unit 



No. 6.] Index to Dispensary Districts. 89 







Refurences to 






Referencea to j 


Kamss 




1- 


§2 








if 


of 


UfnoNS 


||S 






VaT0»9 






DI9Pl:^’aARY 

Districts. 


]a which situate. 


IH 

C.2 A 

«j2 o, 


8 SB 


Dispsksaav 

Distbictb. 


in which situate. 


|‘|e 
S.s c 


la & 1 














gee 


1 


Ferbane, , 
Fevmoy. 


Pavsonatown, . 
Fermoy, . 


Pago 


Pago 

as 

63 


Johnstown, . 


Urlingford, • 


l*ago 


Page 

34 


Fei*ns, 


Enniscurthy, . 


_ 


40 


Kanturk, . 






63 


Fethai’d, , 


Casliel, 


_ 


69 


Keadue, 




_ 


59 


FeLhai’tl, 


Now llbss, 


- 


41 


Keady, 


Armagh, . . 




44 


Fiuglas aud 








JieUs, 


Kells, 


_ 


37 


Glasnevin, 


North. Dublin, . 


_ 


31 


Kermiare, . 


Kenniare, 


_ 


67 


Finnea, 


Granard, , 




35 


Kilbeggan, 


Tullamore, 




S5 


Fintona. . 


Omagh, . 


_ 


63 


Kilbrittain, 




_ 


62 


Fintowu, • . 


Gieuties, . 


_ 


47 








62 


Fivemiletown, . 


Clogher, . 


_ 


62 








33 


Horencecourt, . 


Enniskillen, . 




49 


Kiloooly, . 


Urlingford, 


_ 


34 


Fontstown, 


Athy, 


- 


32 


KilcuUen, . 


Naas, 


- 


33 


Forkhill. . 








Kilderiy, . 




_ 


50 


Newry, 


_ 


49 








•Foxfox’d, 


S>vineford, 


_ 


.S8 


Kildorrerv, • 


Mitohelstown, . 


_ 


65 


Frankford, . , 


Parsonstown. . 


_ 


35 


Kildnnaue, < 






63 


FreDchpark. 


Caatlerea, 


_ 


69 


lUlgaiTan, . 


Kenmare, 




67 


Freshford, . 


Kilkenny, 




84 


Kilgobban, 


Tralee, 




67 


GolbaJlv. . 








JGlltee. 




_ 


61 


Mitcheistown, . 


_ 


65 


Krlkeel, . . 






48 


Galgoi-m, . 


Ballymena. 


_ 


43 










Galway, 


Galway, . , 


S8 


64 


KilkeUy, . 


Swineford, 


.. 


58 


Gan-anffibbon. < 


Oarriok-on-Suir, 


_ 


69 


Kilkenny, . 


EUlkenny, 




34 


Garrlstbwn, 


Dunshaugbliu, 




37 


Kilkishen, . 


Tullfl, . . 




61 


Garvagb, . 


Coleraine, 


_ 


50 


ICillaan, 


Ballinosloe, 




54 










KiUala. 


HUola. . . 


_ 


57 


Glanbeliy, . 


Calierciveen, . 


- 


66 


Killanu, . 


Enniscoi'thy, . 


_ 


40 


Glasson, . . 


Athlone, . 


_ 


39 








Glaselougli, 


Monaghan, 


_ 


52 


Killanniv, . 


3nnl8, • . 


_ 


fiO 


Glenai*m, . 


Jjarne, 




43 


ICillarney, . 


Cillamev, 


_ 


67 


Glenavy, . 


Lisburn, . 


_ 


44 


Killashee, . 


-lonrford. 


_ 


30 


Glendemot, 


Londonderry, . 




-60 


Killea, 


Londonderry, . 


- 


51 


Glenganiflf, 








ICUleaRh, , 


Youglial, . 


- 


66 


Bontiy, , 




62 


Killeen, 


Ounshaughlin, 




37 


Glennamaddy, . 


Glennamaddv. . 


- 


65 






Glciitios, . . 


Glonties. . 


_ 


47 


KillenaghStWel. 


Jorey. 


_ 


40 


GleuwhiriT. 


Ballymena, 


_ 


43 


ICillenaule, 


lashel. 




63 


Golden, 


Tipperary, 


- 


71 


Killeroron, 


vlount Bellow, 


_ 


55 


GoIqsd, . 


SkuU, . . 




05 


Killeshanclra, . 


lavan, . , 


_ 


45 










Killinev, . 


lathdoxvn. 


_ 


32 


Goroy, 


Gorey, 


- 


40 


ICillorgliu, . 


Cillarney, 




67 


Gort, . 


Gort, 


— 


55 










Gox’tiii, 


Goi’tiu, . . 


- 


53 


Killouffh, . 


Downpatrick, . 


- 


46 


Gowrau, 


Kilkenny, 


_ 


34 


KiUoughy, 


CuUamore, 


~ 


35 


Gi*aigue, 


Thomastowji, . 


- 


34 


Killucan, . 


MuUinffai*. 


- 


39 


Gronard, . 


Granard, . 




35 


Killybegs, , . 


Henties, . 


- 


47 










Killygoi'don, 


Stranorlai*, 


- 


47 


Greau, 


Tipperary, 


- 


71 


JCillyleagh, 


Downpatiick, . 


- 


48 


Gvey Abbey, 


Newtownords, . 


_ 


•19 






Gurteen, . 


Boyle, 


- 


69 


Killyou, 

ICilmacrenan and 


Parsonstown, . 


- 


85 


Heodford, . 


Tuam, 


- 


56 


Milford, . 


Milford, . 


- 


47 


Hillaborouffb. . 


Lisburn, , 


- 


44 


Kilmaganny, 


lollau, 


- 


33 


Hollymouut, . 


Ballini'obe, 


— 


57 


ICilmalceyoge, . 


iVaterford, 


- 


72 


Hollywood, 


Belfast, , 


- 


43 


Kilmallock, 


ulraallock, 


- 


08 


Holmpalxick, . 


Bali*otliery, 


- 


31 


Kilmihil, . , 


Kilrush, , 


- 


Cl 


Holyci'083, , 


Thurles, . 


— 


71 










Holywell, , . 


Enniskillen, . 


_ 


49 


ICilmood, . 


Newtownards, , 


— 


49 


Hospital, . 


Kilmallock, 


- 


08 


Kilmore, . 


Monaghan, 


- 


;>2 








Kiluoleck, « 


lavan. 


— 


45 


Inchigeelflffb, . 


Macroom, 


■ - 


64 


Kilpatrick, 


Dashel, 


- 


69 


Ini-sbannow, 


Bondon, , 


- 


62 


Kllrea, . 


Bnllymouey, . 


- 


43 


Ini-ylioKe, . 


Thomastown, . 


- 


3-i 


KUru-sh, 


Kilnish, . 


~ 


01 


Innfield, • 


Trim, 


- 


'38 








Islandeady, 


We.stport, 


- 


.58 


Eilsallaghau, 


Balrotheiw, 


- 


31 






Kilshannig, 


Mallow, . 


- 


64 


Jamestown, 


Car-on-Shanuon 




56 


Kilsheelan, 


Clonmel, . . 


- 


70 


Jolmstown, 


Edeiiderry, , 


- 


35 


Kils^keer, . 


Kells, . 




37 



H 



Printed image digitised by the University of Southampton Library Digitisation Unit 



90 



Indeis to Dispensary Districts. [App. B. 



j 


! 


llSltTl'IlUtlH tu 1 


1 Namrs I 

of 

niSPKNSAllV 
DiaxmoTB. | 

j 


Ukions 

in which situutc. 


S*S~T 

s"' 


: 1 
ss ci 1 

e ' 

$.2 8i 

3*^ 

O C I 

1 


Kiltamagli, 


^wlneford, 


i’agi. 


Page 

;*iS 


Kiltegan, . 


laltiuglnss, . 


- 


•11 


Kiltinan, . 


Clonmel, , 




70 


Kiltoom, . 


Athlone, . 




b!l 


Kilworth, . 


Fennoy, . 


_ 


Od 


Kiugscouvt, 


Linilieborough, 


- 


4'j 


Kingstown, 


Uathdown, 




;i2 


Kinlough, . 


BaUyshauuon, . 


- 


40 


Kinnitty, . 


Parsonstown, . 


_ 


tW 


Kiusale, 


Kinsalo, . 


- 




Kuockuadonn, . 


Lisburn, . 


- 


•14 


Ivnocktopher, . 


Thomaatown, . 


- 


04 


Labasheeda, 


Killadysert, 




lil 


Lahy, . . , 


Donegal, . 


- 


•Hi 


Larne, 


l4avno, 


_ 


40 


I.anrencetown, . 


BolHnasIuo, 


_ 


04 


Leigliliubridge, 


Carlow, 


- 


01 


Leitrim, 


Ciir-on.Shanuon 


- 


so 


Letterkeimy, 


r,*‘Uerkenny, . 


_ 


47 


Lettennoro, 
Limerick, City of 


Ouglitcrard, . 




0.0 


Limerick, 




ns 


Llsbollnw, . 


EnniakiUen, . 


_ 


•H) 


Lisburn, i 


Lisburn, . 


_ 


44 


Lisinoro, . 


Lisruore, . 


- 


71 


Lisnnskea, . 


Lismisken, 


_ 


40 


Listowel, . 


Listowel, 


_ 


07 


Littleton, . 


Thurles, . 




71 


Londonderry, 
City of, . 


Londondcriy, . 




00 


Longford, . 


Longford, 




:io 


Longhbricklaud, 


lianbridgo, 


- 


48 


Loughgall, . 


Armagh, . 


_ 


44 


Loughrea, . 


Longhroa, 

Westpoi’t, 




Cifi 


Louisburgli, 


- 


08 


Louth, 


Dundalk, . 


_ 


37 


Lowparlc, . 


Swineford, 


_ 


i>S 


Lowtherstown, . 


Lowtherstown, 


- 


OQ 


Lucan, , 


Cclbridgo, 


28 


33 


Lnrgan, 


Lurgim, . 


_ 


14 


Lui'ganboy, 


Manoi’hamilton 




00 


Lusk, . 


Balrothoiw, 


1 - 


31 


Macroom, . 


Macroom, 


1 _ 


01 


Maghera, . 


Maghcwafelt, , 


1 - 


01 


JlagUerafelt, 


Maghemfelt, . 


1 

1 


01 


Mnguiresbridge, 


Lisnnskea, , 




•lb 


Malahide, . 


Uulrothery, . 


_ 


31 


Malin, . . 


inishowen, 


- 


47 


Mallow, 


Mallow, . 




64 


Manorcuuingham 


Letterkenny, . 


I ~ 


47 


^rauorhainiitou, 


Manorlmmilton 




06 


Markethill, 


Armagh, . 


_ 


•14 


Marltleld, . 


Clonmel, . 


i “ 


70 


Maryborough, . 


Momitmelick, . 


- 


30 


Maynooth, . 


Cedbridg*', 


! - 


33 


Meigh, « 


N'ewry, 


\ - 


49 


Midletoii, . 


Midletoii, 




65 


Milford, . 


Kanturk, . 


_ 


G3 


Millstreet, . 


jMillstreet, 


_ 


6.0 


Milltown, . 


ICillarney, 




67 


Afilltown, , 


Mullingar, 


- 


39 



Namrs 

or 

DtSPRNRARV 

DiaTRiotra. 



Unions 

In wlilcb eitnatc. 



Rfiltown Jilalbay 

Mitcholal.o'wn, 

Moivlp, 

Jluinij . 

Molahifl'o, . 

3vruiifi{^3ifm, 

jNfouusterboicej 

^roimslei’Gvin, 

Monoyiiinro, 

Mount ]iellow, 

Momitchnrlea, 

MouuJinelick, 

MimutJioiTia, 

Mouutrath, 

Mouiitsluiunou, 

Moville, 

MoynoUy, . 
MoVUfc!, . 
jMufl, . 
Mullatrliyhiss, 
IVIulUimhone, 

ilullhipar, . 
MultyAmilinm, 
Mumigh, . 
Muitoo, 

Js-viH & Carrne'l 
Naviui, 

Npimglj, 
Nowbiidgo, 
Newbridge and 
Kildare, « 
Newcastle, 

Newcastle, . 
Newnrarket, 
Newumrkei, 
Newport, . 
Newport, . 

New llbss, . 

Ne\vry, 

Newtoani and 
lialliokmoyler, 
Newtownards, . 
Newtownbari'y, 
Newtownbutler, 
Newto\vngore, . 

N.-T.-Limavady, 
Newto wu Stewart] 
Nobber, 

Nortli, 

North City, 
North pistrict, 

OUlcastle, , 

Old lloss, . 
Omagh, 
Oranmpre, . 
Oughtflrai’d, 
Oulai-t, 

Painestovra, 

Pnllaskenvy, 



liunistyinon, 
Mitchoistown, 
lAtlilone, . 
iMohill, . 
Uirgan, . 

Killarncy, 

JIoDflghan, 

Drogheda, 

'Athy, 

iMagherafelt, 
Mount Bellew, 

jDonegal, . 

Mountineliclf, 

Newry, , 

iMountmelick, 

Soariff, 

luishowen, 

Kells, 

Thuvles, . 
iLondonderry, 

iNewry, . 
jCalloj), 

Mullingar, 
[MuUingm-, 
Oandon, . 
[Limerick, . 

|Nao0, 

Navan, 
Nenagh, . 
Rathdrum, 

Naas, 

Newcastle, 

Rathdrum, 
|Knnia, 
Kanturk, . 
Nenagh, . 
Newport, . 
New Ross, 

Newry, 

Carlow, 

Newtownards, 
Enniscoi’thy, 
Clones, 
iBnwnboy, . 



Sti'abone, 

Kells, 

jDunmanway, 
[North Dublin, 
jlCilihacthomas, 

Oldcaatle, 

New Ross,' 
Omagh, . 
G-alway, . 

0 ughterai’d, 
Enniscoidliy, 

Navan, 

Rathkenle, 



Iteferonces to 


Is . 








Isl? 








PI 


5“ 


5| 


Pago 


Pago 


- 


61 


- 


05 


- 


30 


- 


57 


- 


45 


_ 


87 


- 


52 


- 


37 


- 


32 


- 


51 


- 


50 




46 


~ 


39 


- 


49 


- 


39 


- 


61 


- 


47 


_ 


37 


- 


71 


- 


80 


- 


49 


- 


33 




39 


_ 


39 


_ 


02 


- 


6H 


_ 


38 


_ 


37 


_ 


70 


- 


41 




28 


- 


6B 




41 




81 




83 


_ 


7fl 




58 


23 


40 


- 


40 


27 


81 


_ 


49 


_ 


40 




51 


- 


45 




51 




53 


_ 


37 




83 




31 


- 


71 




37 


_ 


40 




53 




64 


_ 


65 


- 


40 


- 


37 


_ 


66 






Printed image digitised by the University of Southampton Library Digitisation Unit 



No. 6.J 



Index to Dispensa/ry Districts. 



91 







RcfereLices to 






References to 


Names 

of 


XTnions 


•cii- 

hs 


ilci 

o 


Naubb 


llNioHS 


ir; 




SlSPSMSABY 

DrSTRICTB. 


In which situate. 


| i a< 


S'S S' 
0.1.^ 

si 


Dispsksaby 

Distbicts. 


in which situate. 


s 


y>.2!z[ 
Si A 

ir 






Pftgo 


Page 










Pfllmerstown, . 


South Dublin, 


- 


31 


Scotatown. . 






59 


Pavsonetown, 


Poi-sonstown, . 


- 


35 


Scrubby, . 




_ 


35 


Petti|Coe, . 


Donegal, . 


- 


46 








Pliilipstown, 


Tullamore, 


- 


35 


Seskinan, . 


Dungarvan, 


_ 


71 










Sbanagolden. . 


GHn, ... 


_ 


67 


Plumb Bridge, . 


Gortiu, . . 


- 


53 


Sbercbck. . 


Bailieboroui 2 di. 


_ 


45 


Poyntz Pass, 


Newry, . 




43 


Sbinrone, . , 


Roscrea^ . 


29 


70 


Pomeroy, . 


Cookstown, 


- 


53 


Silvermines. 


Nenagh, . 


_ 


70 


I’oi'tadmra, 


Lurgau, . 


- 


45 


Sis Mile Cross, 


Omagh, . , 


_ 


53 


Portaferrv, 


Downpatrick, . 


- 


48 








Portglenoue, 


Ballymena, 


- 


43 


Skibbereen, , 


Skibbereen, . 


— 


65 








8ki*een, 


Dromore West, 




59 


Portlaw, 


CaiTiek-on-Suir 


_ 


69 


Skull, 


Skull, . . 




65 


Portroe, 


Nenagh. , 


- 


70 


Slievereagh, 


Macroom, 


_ 


64 


Portumua, . 


Portumna, 




55 


Sligo, . 


Sligo, 


_ 


59 


Powerscoui’t, 


RatbclowT), 


- 


32 


Sneem, . . 


Kenxnare, . 


- 


67 


Queenatoim, 


Cork, 


_ 


63 


South, 


Uunmanway, . 






Quin, . 


Tulla, . . 




61 


South City, 


South Dublin, , 




31 










South Distadct, . 


Kilmacthomas, 




71 


Raferacrli. . 


Cax’rickmacvoss 


- 


51 


Stamullen, . 


Drogheda, 


- 


36 


llnliau, , 


Mallow, 


- 


64 


Stewai'tstown, . 


Cookstown, . 




53 


Raudalstown. - 


Antiim, . 


_ 


42 


Strabane, . 


Strabane, . 




53 


Rapboe, 


Strabane, . 


« . 


53 










Rathangau. 


Edenderry, 


- 


33 


Sti'adbally, 


Athy, 

Cavan, , . 


- 


32 


Ratlicoole, , 


Celbridge, 


_ 


33 


Stradone, . 


_ 


45 


Rathooimaok, . 






Strangford, 


Downpatrick, . 


_ 


48 


Feimov, . 


- 


G3 


Stronoi’lar, . 


Stiunoriai*. 


_ 


47 


Rathdowney. 


Douagmnore, . 


- 


38 


Sti’cet, . 


Gronard, . , 


- 


35 


Rnthdrum,. 


Ratbdrum, 


— 


41 


Strokestown, 


Strokestown, . 


— 


59 


Rathfaruham. . 


South Dublin, . 


- 


31 










Ratbfrilond^ 


New’ry. 


- 


40 


SummerhiU, 


Trim, 


_ 


38 


Ratbgormuck, . 


Carrick' 0 n*S«ir, 


- 


69 


Swanlinbar, 


Bawnhoy, . 




45 










Swinefoi-d, . 


Swineford, 


_ 


58 


Ratbkoale, . 


Ratbkeale, 


- 


GO 


Swords, 


Balrothery, 


- 


31 


Ratbmeltoa, 


Milford, . 




47 








Rathmines, 


South Dublin, . 




31 


Tngbmon and 








Ratbmore, . 


Naas, 


- 


33 


Glynn, . 


Wexford, , 


_ 


41 


Ratbmullan, 


Milford, . 


- 


47 


Tallnght, . 


South Dublin, . 




31 


Ratbvilly, . 


Baltiuglofl.s, 


- 


41 


Tallow, 


Lismore, . . 


- 


71 








Tauderagee, 


Banbridge, 


- 


48 


Ratoatb, , 
Ravensdale. . 


Duusbaugblin, 
Dundalk, . 


- 


37 

37 


Tai-bert, 

Tartaraghon, 


Glin, 

Lurgan, . 




67 

45 


Rhode, 
RiehHiU, . 
Biuyyle, 
Riyei'sto^m, 


Edendeny, 
Armagh, . . 

Clifden, . 
Parsonstowu, . 


- 


35 

•44 

54 

35 


Templemartin, . 
Templemiohael, 
Templemore, . 
Teujplepatrick, . 


Bandon, . 
Youghal, . 
Thurles, . 
Antrim, . 


- 


62 

66 

71 

42 


Riyei*sto\vn, , 
Roadford, . 


Sligo, 

Enuistymon, . 


- 


59 

61 


Templeudigan, . 
Tempo, 


Now Ross, 
Enniskillen, . 


28 


41 

49 


Robei-tstown and 
Kilmeage, 
Rooslcy, 
Roscommon, 
Roscrea, . 


Naas, 

Strokestown, . 
Roscommon, . 
Roscrea, . 


- 


33 

59 

59 

70 


TeitQon, 
Termoufeckiu, . 
Teriyglass, ♦ 

Thomastown, . 
Thurles, 


Bailiehorough, 
Drogheda, 
Borrisokane, , 
Thomastown, . 
llmrles, . 


- 


45 

37 

69 

34 

71 


Rogguill, , 
Rosscarbery, 
Rosslea. 
Rosti'evor, . 
Roundstone, 


Milford, . 
Clonokilty, 
Clones, . . 

TCilkeel, . 
Clifden, . 


- 


47 

62 

51 

49 

54 


Timoleague, 
Tinahely, . 
Tipperary, . 
TiscofBn, . 


Clonakilty, 
Shillelagh, 
Tipperary, 
Kilkenny, . , 




G3 

42 

71 

34 


Rowan, 
Rynn, . 


'Mobill, . 


- 


57 


Tobercuwy, 


Tohercurry. 


_ 


60 


jMobUl, . 


- 


57 


Toome, 


Ballymena, 




43 










Toomeyan-a, 


Nenagh, . 


— 


70 


Sointfield, . , 


Lisbui-n, . 


_ 


44 


Tralee, 


Tralee, 




67 


St. Mai'v’s. . 


Clonmel, . 


_ 


70 


Tj-omore, . 


Waterford, . 


- 


72 


St. Mary’s. . 


Drogheda, 




36 


Trim, . . 


Trim, 


- 


38 


St. Mnlliu’s, 


Neiv Ross, « 


- 


41 


Tuam, < . 


Tuam, 


- 


56 














conti-mted. | 



Printed image digitised by the University of Southampton Library Digitisation Unit 




92 



Index to Dispensary Districts. 



[No. 6. 







lieferonoes to 


NAUX3 

Of 

DiirKSSAiiY 

Djbtaiots, 


Ukiom 

tn whloK situate. 


S - 

Hi 

tSea* 
Si d 

a.2-< 

no2 


si. 

,S <4 M 
0 

1-1 

s| 


Xulltt, . 
Tallagh, . 


Tulla, . . 


Pago 


P,ngo 

(.il 


Skibberaon, 


~ 


(55 


Tullamaiu, . 


Caebol, 


- 


150 


Tallamore, . 


Tnllamore. 




35 


TuUor-oau, . 


Kilkenny, . , 


_ 


34 




Carlow, 


27 


30 


TuUyvin, . 


Cootehill, . 


- 


45 


Tuoslst, 


Kenmare, . 


_ 


07 


Turlouffhmore, . 


Galway, . 


_ 


54 


Tynan. . , 

Tyrrellspass, 


Armagu, « 


_ 


44 


Mullingar, 


- 


30 


Ullid, . 


Waterford, , 


_ 


72 


Union Hall, 


Skibbereen, 




65 


Urling/or<\, , 


Urlingford, 


- 


34 


tValenoia. « 


Caberoiveen, . 




66 


Virginia, . . 


Oldoastle, . 


” 


37 



NAuas 




of 


Ukiomi 


DiaraNBAar 


in vhloh situate. 


Djbtkicts. 




Wolfihtownmore, 

East, 

Woiiagstown, . 
Warrenpoint, 
Waterford, , 


Midleton, . 
Lnrgan, . 
Newryj , , 

Waterford, . 


Westem, . 
Westport, . 
Wexford, . 
Whiteoluivch, . 
Whitecliuroh, . 


Galway, , , 

Westport, . 
Wexford, . 
Carrick-on-Suir, 
Cork, , 


Wbitoclmvcb, . 
Whilebouso, 
Williamstown, , 
Woodford, , 
Woodstown, . 


Duugorvan, . 
Belfast, . 
Glennamaddy,. 
Lougbrea, 
Waterford, 


Yonghal, . . 


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Printed image digitised by the University of Southampton Library Digitisation Unit 









