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 1935

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

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18
Diphtheria.
Notifications of diphtheria numbered 9,294 in 1935 (52 weeks), compared with
11,782 in 1934. This gives an attack-rate of 2.2 per thousand as against 2.8 in the
preceding year. There were 271 deaths, giving a death-rate of .06 per thousand
living. The case-mortality was 2.9 Per cent., compared with 3.9 per cent. in 1934.

Table: 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:— Table 20.

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:— Table 20.

l-5-9-13-17-21-25-29-33-37-41 -45-49-52
1,133989820751659537501539470699768797631

Table: The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1935 were as follows :— Table 21.

The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1935 were as follows :— Table 21.

Year 1935Age-periodTotal
0-1-2-3-4-5-6-7-8-9-10-15 +
Notifications (52 weeks)1553736648779411,0669047034824661,1971,4669,294
Deaths (365 days)8102728434423241492012271
Crude case - mortality percentage5.165.094.073.194.574.132.543.412.901.931.670.822.92

Table: The death-rates in London and England and Wales in recent years are shown in the following table :— Table 22.

The death-rates in London and England and Wales in recent years are shown in the following table :— Table 22.

Area19241925192619271928192919301931193219331934
London0.120.110.120. 090. 090. 080.100.060.070. 030.11
England and Wales0.060.070.080. 070.080. 090. 090.070.060.070.10

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Diarrhoea and
enteritis.
Diarrhoea and enteritis caused 631 deaths among children under two years of
age, or 1131 per thousand live births. The corresponding rate in 1934 was 12.80.
Puerperal
fever and
pyrexia.
There were 241 notifications of puerperal fever and 652 notifications of puerperal
pyrexia in 1935(52 weeks) compared with 254 and 758 respectively in 1934 (52 weeks).
Maternal
mortality
The deaths from puerperal fever numbered 64 and from other puerperal causes
80, the deaths per thousand live-births being 1.15 and 1.43 respectively, giving a
total maternal mortality rate of 2.58 compared with 2.80 in 1934.
The maternal mortality rate in 1935 was the lowest hitherto recorded for
London residents, the previous lowest being 2.76 in 1911. The lowest previous
rate for puerperal fever deaths was 1.24 in 1913 and also in 1914. In regard to
other causes, the rate for 1911 of 1.37 per 1,000 births to London women still
remains the lowest recorded.
The deaths from puerperal fever and other puerperal causes per thousand live
births in each metropolitan borough and in the county of London in the periods 1920