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239

(1904) Author: Gustav Sundbärg
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Full resolution (JPEG) - On this page / på denna sida - First part - III. Constitution and Administration - 2. State Administration - Hygiene and care of the sick, by C. Waller, M. D., Director of the Hålahult Sanatory, C. Runborg, M. D., Stockholm, and G. Schuldheis, M. D., Member of the Royal Medical Depart., Stockholm

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HYGIENE AND CARE OF THE SICK.

239

The number of doctors at different periods since 1860 appears in Table 37.
At the end of 1901, there were in Sweden 1,336 Licentiates in Medicine, amongst
whom seventeen ladies. If from these figures a deduction is made of the number of
doctors who are prevented from practising, either on account of their official
position, their age, or for some other reason, there remain somewhat more than
1,150 who may be considered directly occupied with the medical treatment of
civilians and soldiers.

With the exception of about 350, who have exclusively devoted themselves
to private practice, the number of doctors appointed to attend to the needs of
the community at large is: 317 for country places, 147 for towns, 161 for
infirmaries, 38 for Lunatic Asylums and Homes for the Mentally Afflicted, 51 for the
prisons, 92 for the State Railways, etc. Two or more appointments can be held
by the same medical man.

In 1902, 139 of the doctors appointed for the country were
Provincial Physicians — together with that of the official doctors of the
towns, this is the oldest medical institution in Sweden paid exclusively by
the State; of the other country doctors 154 are called Extra Provincial
Physicians, and are paid by the State and local district in common,
by the local district alone, or else by private people. Among the
Provincial Physicians of each Län (the town of Stockholm excepted) there
is one who bears the title of First Provincial Physician, and acts as
inspector, not only over the hygiene and care of the sick in the
district of the Provincial Physician in the immediate neighbourhood of
his County town, but also over the Civil Medical service — especially
Public Health — in the entire Län. For their assistance there are
state-appointed Assistant Provincial Physicians — one for every First
Provincial Physician. — For medical service in the Army and Navy,
there are 266 Military surgeons and 10 hospitals.

Table 38. Infirmary returns for 1861/1000.1

1 Average for the years Mean population. Annual number of Per 1,000 inh. Day* of
maintenance per lndlvldnal admitted. Dead out of 1.000 admitted.
Sick
people admitted. Dnyg of maintenance. Dead. [-Admitted.-] {+Admit- ted.+} Daya oi
maintenance. In all. Venereals
excepted.’
1861/65... 3,993.000 23,043 841,960 1,526 577 211 36-5 66-2 80-7
1866 70... 4,166,000 28,342 1,103.040 1,876 680 265 38-9 66-2 81-5
1871/75... 4,274,000 30,551 1,162.520 2,403 7-15 272 381 78-7 88-6
1876,80... 4,500,000 33,399 1,280,631 2,233 742 285 383 66-9 75-1
1881/85... 4,605,(00 42,245 1,525,260 2,643 917 331 36 1 62-6 70-6
1886/90— 4,742X100 49,592 1,648,574 3.069 10-46 348 33-2 61-9 671
1891/95... 4,83?,000 60.400 1,910.454 3,673 1260 395 31-6 608 652
1896/00... 6,032,000 75,989 2,366,594 4,234 1510 470 311 55-7 594
, In 1900... | 5,117,000 77,996 2,504,577 4,479 1524 489 321 57-4 604

1 Military hospitals included bnt not lying-in hospitals, children’s hospitals, and
lunatic asylums. — * Among venereally diseased, the annual mortality for the eight
quinquennial periods was 10 0, 8 7,13"0, 8 4, 6’3, 4 9, 44, and 4’o °/oo respectively. The total
of patients goffering from venereal diseases and admitted at the infirmaries amounted
iaring the same periods annnally to 118, 144, 94, 92, 115, 88, 91, and 99 per one hundred
thousand inb. respectively.

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