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

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London County Council 1905

[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.
Males2,175200778810812028939940228514364
Females2,797220104138161182366470475353227101
Persons4,972420181226269302655869877638370165

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— Puerperal fever.

Year.Notified cases.Deaths.2
1891221222
1892337313
1893397352
1894253210
1895236208
1896277225
1897264215
1898247184
1899326209
1900237169
1901253184
1902311201
1903233170
1904273198
1905292183

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.
1891.051.64.051.65
1892.082.55.072.37
1893.092.98.082.65
1894.061.92.051.60
1895.051.76.051.56
1896.062.04.051.66
1897.061.98.051.61
1898.051.86.041.39
1899.072.45.051.57
1900.051.81.041.29
1901.061.93.041.40
1902.07234.041.51
1903.051.78.041.30
1904.06211.041.53
1905.062.31.041.45

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.
1891-51.96
1896-19001.51
1901-51.44

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.