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
Fulham 1901
[Report of the Medical Officer of Health for Fulham]
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35
Diphtheria.
The number of cases of diphtheria notified in 1901, was
practically the same as in the preceding year, 636 cases of
diphtheria and 8 of membranous croup being reported, compared
with 630 of diphtheria and 11 of membranous croup in 1900.
The cases occurring in the four quarters of the year, were :—
Cases. Deaths.
1st Quarter 128 13
2nd „ 90 7
3rd „ 163 6
4th ,, 263 22
Fatality.—Although there was no diminution in the number
of cases, there was a marked fall in the fatality of the disease,
the number of deaths, viz. 48, being actually fewer than in any
year since 1892, the case mortality, viz. 7'5 per cent. being
the lowest yet recorded.
The decline in the fatality of this disease in recent years,
which is mainly due to the use of anti-toxic serum, will be seen
from the following table:—
TABLE XXX.
| No. of Births Registered from 1st Jan., 1901, to June 30th, 1901 | Successfully Vaccinated. | Insusceptible of Vaccination. | Had small Pox. | Dead. | Postponed by Medical Certificate. | Removed. | Outstanding. | Certificates Granted under Clause 2 of the Vaccination Act of 1898. |
|---|---|---|---|---|---|---|---|---|
| 1,687 | 3 | - | 204 | 75 | 234 | 18 | 30 |
The following table shows the proportion of children who have escaped vaccination during the nine years, 1892-1900 :—
TABLE XXXI.
| Year. | Births. | Successfully Vaccinated. | Insusceptible of Vaccination. | Died Unvaccinated. | Vaccination Postponed. | Removed, &c. | Certificates Granted under Clause 2 of the Vaccination Act of 1898. | Percentage not finally accounted for |
|---|---|---|---|---|---|---|---|---|
| 1892 | 3,518 | 2,930 | 14 | 341 | 21 | 212 | - | 7.0 |
| 1893 | 3,704 | 2,840 | 22 | 459 | 29 | 354 | - | 10.9 |
| 1894 | 3,792 | 3,068 | 22 | 333 | 46 | 323 | — | 10.3 |
| 1895 | 3,951 | 3,125 | 19 | 465 | 49 | 293 | - | 9.1 |
| 1896 | 4,015 | 3,151 | 24 | 434 | 34 | 372 | - | 10.7 |
| 1897 | 4,107 | 3,341 | 22 | 432 | 42 | 266 | 4 | 8.2 |
| 1898 | 4,311 | 3,170 | 23 | 453 | 78 | 497 | 90 | 16.2 |
| 1899 | 4,581 | 3,360 | 27 | 615 | 76 | 384 | 66 | 12.1 |
| 1900 | 4,552 | 3,445 | 13 | 470 | 65 | 458 | 63 | 13.2 |