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

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London County Council 1933

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

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The death-rates in London and England and Wales in recent years are shown in the following table :—

Area.1922.1923.1924.1925.1926.1927.1928.1929.1930.1931.1932.
London0.070.030.030. 020 .020.010 .020.020 .030. 020 .02
England and Wales0.040.030.020.030.020.010.010.020.020.010.01

Diphtheria
Notifications of diphtheria numbered 9,557 in 1933 (52 weeks), compared with
8,087 in 1932. This gives an attack-rate of 2.2 per thousand as against 1.9 in the
preceding year. There were 362 deaths, giving a death-rate of 0.08 per thousand
living. The case-mortality was 3.8 per cent., compared with 3.9 per cent, in 1932.

The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four-weekly periods during the year was as follows :—

l-5-9-13-17-21-25-29-33-37-41-45-49-52
5855406355876686486926206599011,0731,015934

The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1933 were as follows :—

Year 1933.Age-period.Total.
0-1-2-3-4-5-6-7-8-9-10-15 +
1573936508409341,0258597016574451,4931,5039 557
Deaths (365 days)12273144494841322019318362
Crude case - mortality percentage7.646.874. 775.245.254. 684.774. 563 594.272.080.533.79

The death-rates in London and England and Wales in recent years are shown in the following table :—

Area.1922.1923.1924.1925.1926.1927.1928.1929.j1930.1931.1932.
London0.250.130.120.110.120.090 .090.080.100.060.07
England andWales0.110. 070.060.070.080.070.080.090.090.070.06

Diarrhoea and
enteritis.
Puerperal
fever and
pyrexia.
Maternal
mortality.
Diarrhœa and enteritis caused 666 deaths among children under two years of
age or 11.74 per thousand births. The corresponding rate in 1932 was 12.55.
There were 255 notifications of puerperal fever and 838 notifications of puerperal
pyrexia in 1933 (52 weeks) compared with 218 and 741 respectively in 1932 (52 weeks).
The deaths from puerperal fever numbered 96 and from other accidents of childbirth
112, the deaths per 1,000 live-births being 1.69 and 1.97 respectively, giving a
total maternal mortality rate of 3.66.
The deaths from puerperal fever and other accidents of childbirth per thousand
births in each metropolitan borough and in the county of London in the periods 1920
to 1927 and 1928 to 1933, together with the deaths in childbirth in 1933, are shown in
the following table :—