London's Pulse: Medical Officer of Health reports 1848-1972

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St Pancras 1858

[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]

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9
In looking to the causes of death, which, are given at length in Table I.,
appended to this Report, it will be found that the following have been more
active last year than in 1857 :—
Amongst Zymotic diseases, Scarlatina, which gave 406 instead of 99 deaths;
Measles 184 instead of 126; Hooping Cough 182 instead of 163; Small Pox
22 instead of 11. Then Dropsy was the registered cause of 52 instead of 39
deaths. The Tubercular class of diseases gave 712 deaths in 1858, only 647 in
1857. Diseases of the Heart and Blood Vessels, 173 instead of 140. Bronchitis
killed 490 this year, and 406 in the previous year; Pneumonia 289 instead of
209. Teething was fatal to 53 children instead of 38; and 226 persons died of
Old Age, instead of 177. Other causes of death have been either rather less
active this year than last or about equally so in the two years.
In Tables II. to VI. inclusive, the mortality is tabulated according to the
sub-districts for the several quarters and the whole year; the deaths under 5
years, and those from six epidemic diseases are also distributed in the same
manner ; the births also are given for the quarter and for the whole year in the
several sub-districts.
In Table VII. the mortality and temperature of each week are placed
together, and compared with the average mortality and temperature of the
corresponding weeks in other years.
In Table VIII. the births, deaths, and temperature of the several quarters
arc collected and compared with other years.
These tables require to be attentively studied, in order that the important
facts which they contain, may become apparent, but I fear that I should be too
prolix were I to set them forth at length.

The death-rates from the undermentioned diseases to every 100,000 living in St. Pancras and the Metropolis respectively were, during 1858 :—

St. Pancras.London.
Pulmonary Affections (a)723708
Phthisis alone276271
Measles9487
Scarlatina208151
Hooping Cough9399
Alvine Flux W6588
Typhus Fever5669
Nervous Diseases of Children (c)125158
From all causes23122356

So that while the mortality from all causes was a little greater in London
than in St. Pancras, the mortality from Pulmonary Affections, as a whole, from
Phthisis or Consumption, from Measles, and from Scarlatina severally, was
larger in St. Pancras than in the whole of London. The death-rate from
Scarlatina is the one most notably in excess. Prom Hooping Cough, from Alvine
Flux, from Typhus Fever, and from the Nervous Diseases of Children, the
death-rates were lower in St. Pancras than in London.
During the past year, a book has been published by the General Board of
Health, containing papers by Dr. Greenhow, the results of a very elaborate
(a) This heading includes Phthisis, Laryngitis, Bronchitis, Pleurisy, Pneumonia, Asthma,
and other diseases of the Lungs.
(b) This includes Diarrhœa, Dysentery, and Cholera.
(c) This includes Hydrocephalus, Convulsions, and Teething.