Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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The following table shows the age and sex distribution of the notified cases of erysipelas in 1905—
Age. | All ages. | 0- | 5- | 10- | 15- | 20- | 25- | 35- | 45- | 55- | 65- | 75 and upwards. |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Males | 2,175 | 200 | 77 | 88 | 108 | 120 | 289 | 399 | 402 | 285 | 143 | 64 |
Females | 2,797 | 220 | 104 | 138 | 161 | 182 | 366 | 470 | 475 | 353 | 227 | 101 |
Persons | 4,972 | 420 | 181 | 226 | 269 | 302 | 655 | 869 | 877 | 638 | 370 | 165 |
The table shows, so far as the figures relating to notified cases of this disease can be trusted in this
connection, that the incidence of this disease is greatest upon the later ages of life and that the number
of females attacked exceeds the number of males attacked.
Puerperal Fever.
The deaths in the Administrative County of London during the year 1905 (52 weeks) attributed
to puerperal fever1 numbered 183.
Ihe number ol cases notified and the number ol deaths registered from this cause since the year 1890 have been as follows—
Year. | Notified cases. | Deaths.2 |
---|---|---|
1891 | 221 | 222 |
1892 | 337 | 313 |
1893 | 397 | 352 |
1894 | 253 | 210 |
1895 | 236 | 208 |
1896 | 277 | 225 |
1897 | 264 | 215 |
1898 | 247 | 184 |
1899 | 326 | 209 |
1900 | 237 | 169 |
1901 | 253 | 184 |
1902 | 311 | 201 |
1903 | 233 | 170 |
1904 | 273 | 198 |
1905 | 292 | 183 |
If these cases and deaths are considered in relation to the total population and total births the following rates are obtained—
Year. | Case-rate per 1,000 living. | Case-rate per 1,000 births. | Death-rate' per 1,000 living. | Death-rate2 per 1,000 births. |
---|---|---|---|---|
1891 | .05 | 1.64 | .05 | 1.65 |
1892 | .08 | 2.55 | .07 | 2.37 |
1893 | .09 | 2.98 | .08 | 2.65 |
1894 | .06 | 1.92 | .05 | 1.60 |
1895 | .05 | 1.76 | .05 | 1.56 |
1896 | .06 | 2.04 | .05 | 1.66 |
1897 | .06 | 1.98 | .05 | 1.61 |
1898 | .05 | 1.86 | .04 | 1.39 |
1899 | .07 | 2.45 | .05 | 1.57 |
1900 | .05 | 1.81 | .04 | 1.29 |
1901 | .06 | 1.93 | .04 | 1.40 |
1902 | .07 | 234 | .04 | 1.51 |
1903 | .05 | 1.78 | .04 | 1.30 |
1904 | .06 | 211 | .04 | 1.53 |
1905 | .06 | 2.31 | .04 | 1.45 |
If the death-rates from the disease per 1,000 births be shown in three quinquennial periods, viz. 1891-5, 1896-1900, and 1901-5, it will be seen that the death-rate has, during this period, declined.
Period. | Death rate per 1,000 births. |
---|---|
1891-5 | 1.96 |
1896-1900 | 1.51 |
1901-5 | 1.44 |
The subject of puerperal fever occurring in the practice of midwives will be found in the reference
to the administration of the Midwives Act, 1902, which is made later, see pages 88 and 89.
1. Including deaths from puerperal septicaemia and puerperal pyaemia.
2. See footnote (2), page 9.