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

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London County Council 1899

[Report of the Medical Officer of Health for London County Council]

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42
Diarrhoea.
The deaths in the Administrative County of London attributed to diarrhoea and dysentery
in the year 1899 numbered 4,196, compared with 4,365 in the year 1898.

The death rates in 1899 and preceding periods are shown in the following table—

Diarrhoea—Death, rates per1,000living.

Period.Death-rate per 1,000 living.Period.Death-rate per 1,000 living.
1851-601.0318940.411
1861-701.0418950.821
1871-800.9518960.711
1881-900.7518970.921
18910.57118980.971
18920.60118990.921
18930.801

The diarrhoea death rate in each year since 1840 in relation to the mean death rate of the
period 1841-99 is shown in diagram XV. The mean temperature of the summer quarter of each
year in relation to the mean of the period 1841-99 is also shown. The intimate relation between
the temperature of the summer quarter and the prevalence of diarrhoea is most marked.

The age distribution of the deaths2 from this disease in the Registration County of County in the year 1899 was as follows—

Under 1 year.1-5.5-20.20-40.40-60.60-80.80 and upwards.
3,33051921226517366

It will thus be seen that over 79 per cent. of the total deaths occurred among children
under one year of age and over 91 per cent. among children under five years of age.
It will be seen from the following table that the London diarrhoea death rate was lower
than that of any of the undermentioned towns in the year 1899 and in the period 1889-98 was
lower than that of any except Bristol—

Diairhcea—Death rates per1,000living.

Towns.1889-98.1899.Towns.1889-98.1899.
London0.7220 .932Bristol0.581.ll
Manchester1.211.83Nottingham1.041.68
Liverpool1.241.87Bradford0.910.97
Birmingham1.181.67Hull1.431.46
Leeds1.120.94Salford1.511.97
Sheffield1.311.58West Ham0.811.55

During the year the eastern group of districts had the highest death rate and the northern
group the lowest. Among the several sanitary districts the death rate was highest in St. George,
Southwark, and lowest in the City. During the first quarter of the year the central group of
districts had the highest death rate and the northern and eastern groups the lowest; during the
second quarter the eastern group had the highest death rate and the southern group the lowest;
during the third quarter the eastern group again had the highest death rate and the northern the
lowest; while during the fourth quarter the southern group had the highest death rate and the
northern again the lowest.
9 See footnote (1), page 3.
2 See footnote (2), page 3.