London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1893
[Report of the Medical Officer of Health for London County Council]
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22
The differences between the age-incidence of the deaths of the vaccinated and unvaccinated can
therefore be appreciated, a difference which is conspicuous if the cases in the two classes "Vaccinated"
and " No statement" are added together and compared with the unvaccinated.
In my last report I referred to the large increase, during recent years, in the number of children
appearing in the vaccination returns as " not finally accounted for," and to the information which I had
received concerning several London districts, which showed that their number had, at any rate in several
districts in 1892, still further increased. The returns published by the Local Government Board enable
me to show the proportion of children in London " not finally accounted for " per cent, of total births
during several years to the year 1891.
| Children not finally accounted for (including casea postponed) per cent, of total births. | Children not finally accounted for (including cases postponed) per cent, of total births. | ||
|---|---|---|---|
| 1881 | 5.7 | 1887 | 9.0 |
| 1882 | 6.6 | 1888 | 7.4 |
| 1883 | 6.8 | 1889 | 11.6 |
| 1884 | 6.8 | 1890 | 13.9 |
| 1885 | 7.0 | 1891 | 16.4 |
| 1886 | 7.8 |
The following table gives similar information for each of the metropolitan unions for the years
1881-93 inclusive.
I am indebted to the clerks of these unions for information relating to the year 1893.
| Metropolitan Unions. | 1881. | 1882. | 1883. | 1884. | 1885. | 1886. | 1887. | 1888. | 1889. | 1890. | 1891. | 1892. | 1893. |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bethnal-green | 5.5 | 7.1 | 61 | 8.0 | 8.6 | 11.1 | 13.5 | 16.0 | 25.1 | 30.6 | 38.2. | 53.1 | 54.8 |
| Camberwell | 5.2 | 6.0 | 6.4 | 7.0 | 6.8 | 8.4 | 9.4 | 8.4 | 12.5 | 14.0 | 17.4 | 15.5 | 13.2 |
| Chelsea | 5.1 | 6.7 | 5.2 | 5.1 | 5.0 | 5.6 | 7.2 | 4.8 | 6.0 | 6.3 | 16.7 | 12.1 | 11.8 |
| Fulham | 5.4 | 4.1 | 3.8 | 4.2 | 4.5 | 4.5 | 4.6 | 5.5 | 6.0 | 6.7 | 5.8 | 6.5 | 9.5 |
| St. George, Hanover-square | 2.3 | 4.4 | 3.1 | 2.9 | 4.6 | 4.3 | 4.6 | 4.5 | 4.0 | 3.6 | 3.7 | 3.4 | 3.5 |
| St. George-in-the-East | 4.2 | 4.3 | 4.7 | 3.7 | 4.8 | 5.3 | 6.7 | 7.9 | 6.5 | 7.9 | 8.6 | 9.4 | 10.8 |
| St. Giles and St. George | 11.6 | 9.9 | 11.4 | 11.6 | 11.1 | 12.2 | 14.1 | 17.7 | 22.5 | 17.8 | 13.6 | 18.1 | 19.3 |
| Greenwich | 6.6 | 7.8 | 10.2 | 10.4 | 11.1 | 11.4 | 9.6 | 10.1 | 11.5 | 32.3 | 19.4 | 9.8 | 7.1 |
| Hackney | 4.6 | 6.7 | 6.2 | 6.5 | 9.3 | 9.3 | 8.9 | 12.1 | 18.5 | 26.0 | 40.6 | 49.5 | 52.8 |
| Hampstead | 3.1 | 4.0 | 5.1 | 4.2 | 3.8 | 4.0 | 5.0 | 5.6 | 5.1 | 6.3 | 7.1 | 6.9 | 6.7 |
| Holborn | 6.2 | 7.6 | 8.5 | 9.7 | 8.1 | 7.7 | 8.7 | 10.3 | 11.3 | 12.4 | 12.7 | 14.2 | 14.2 |
| Islington | 8.2 | 8.0 | 8.4 | 8.0 | 8.0 | 7.8 | 8.1 | 9.8 | 9.5 | 9.2 | 10.8 | 12.4 | 12.8 |
| Kensington | 3.9 | 5.4 | 4.6 | 4.9 | 5.5 | 6.5 | 7.0 | 6.9 | 7.5 | 7.6 | 9.6 | 10.3 | 9.2 |
| Lambeth | 7.6 | 8.3 | 8.5 | 8.6 | 8.6 | 9.4 | 11.1 | 12.6 | 13.3 | 14.3 | 16.0 | 19.6 | 19.9 |
| Lewisham | 3.2 | 4.1 | 4.8 | 4.2 | 5.2 | 5.0 | 6.5 | 5.9 | 6.6 | 6.3 | 6.2 | 6.6 | 6.8 |
| City of London | 2.9 | 2.9 | 2.4 | 3.9 | 7.4 | 8.0 | 8.0 | 9.0 | 9.2 | 10.3 | 8.8 | 9.3 | 9.3 |
| Marylebone | 5.1 | 6.8 | 5.5 | 7.3 | 5.4 | 4.6 | 4.7 | 4.9 | 8.1 | 7.7 | 13.4 | 16.9 | 24.8 |
| Mile-end Old-town | 7.5 | 8.8 | 9.8 | 8.7 | 8.8 | 9.7 | 11.3 | 14.4 | 16.6 | 26.5 | 49.9 | 58.8 | 43.5 |
| St. Olave | 4.1 | 5.9 | 10.0 | 7.3 | 8.0 | 9.0 | 17.7 | 15.0 | 15.4 | 14.8 | 15.3 | 15.8 | 16.5 |
| Paddington | 7.7 | 9.2 | 8.8 | 8.2 | 8.8 | 10.1 | 8.4 | 11.3 | 12.7 | 11.6 | 17.7 | 12.6 | 10.0 |
| St. Pancras | 6.3 | 5.7 | 4.0 | 5.2 | 6.1 | 6.9 | 8.7 | 11.5 | 13.2 | 15.1 | 15.6 | 15.7 | 15.8 |
| Poplar | 4.4 | 4.0 | 3.6 | 3.8 | 3.0 | 4.9 | 5.7 | 16.9 | 15.1 | 19.5 | 19.6 | 23.6 | 23.1 |
| St. Saviour | 5.7 | 6.7 | 6.0 | 8.7 | 9.1 | 13.1 | 18.9 | 17.1 | 12.4 | 11.6 | 12.4 | 12.7 | 14.9 |
| Shoreditch | 10.3 | 12.0 | 7.6 | 6.5 | 5.6 | 6.3 | 5.6 | 3.7 | 5.5 | 9.3 | 8.8 | 10.8 | 16.2 |
| Stepney | 6.2 | 4.8 | 2.3 | 3.7 | 4.1 | 5.9 | 5.3 | 6.5 | 8.8 | 12.0 | 19.0 | 22.7 | 26.2 |
| Strand | 7.2 | 8.3 | 7.6 | 9.3 | 8.9 | 8.5 | 9.7 | 10.0 | 16.2 | 7.1 | 12.2 | 15.4 | 12.6 |
| Wandsworth and Clapham | 5.4 | 7.1 | 9.0 | 8.2 | 9.1 | 9.7 | 10.6 | 11.5 | 12.1 | 12.9 | 14.7 | 18.5 | 12.2 |
| Westminster | 4.8 | 5.7 | 6.1 | 5.7 | 6.6 | 8.5 | 8.5 | 4.1 | 12.8 | 13.2 | 17.0 | 23.0 | |
| Whitechapel | 1.4 | 1.6 | 1.6 | 1.4 | 1.5 | 1.8 | 1.7 | 2.1 | 2.8 | 2.7 | 4.1 | 4.4 | 5.3 |
| Woolwich | 1.9 | 1.4 | 1.5 | 1.6 | 1.8 | 2.2 | 2.2 | 2.9 | 3.5 | 3.7 | 3.6 | 3.7 | 3.5 |
Measles.
Measles caused 1,659 deaths in London in 1893, or less than half the number of deaths which
occurred in 1892 from that cause.
The death rates per 1,000 living from this disease in 1893 and previous periods have been as
follows—
1851-60 0.53
1861-70 0.58
1871-80 0.51
1881-90 0.64
1891 0.43†
1892 0.79†
1893 0.38†
Diagram V. shows the death rate of measles in each year in relation to the mean death rate of
the period 1841-93.
Compared with the other 11 large towns, London had in 1893 a lower death rate than the
majority, whereas in the preceding ten years the mean death rate of London had been in excess of
those of the majority.
4 See footnote (†), page 6. •