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CARSHALTON URBAN DISTRICT.
Area, 2,926 Acres.
Population at Census in 1871, 3,668; in 1881, 4,841; in 1891, 5425.
Number of inhabited Houses at Census in 1871, 732; in 1881, 910; in 1891, 1091.
MEDICAL OFFICER'S REPORT FOR THE YEAR 1897.
I.-Vital Statistice: Births and Deaths.
1. The population of the Parish in the middle of the yrar may be estimated at 5,750 persons.
2. The number of Births registered in the Parish during the year was 161, or thirteen less than
in the previous year. The Birth-rate for the year, therefore, was 28 per 1,000 of the estimated population.
3. The number of Deaths registered in the Parish during the year was 76 (as against 67 in the
preceding year), to which must be added eleven deaths in the Epsom Workhouse and County Asylum of
persons belonging to the Parish. These 87 deaths represent an Annual Death-rate of 15.1 per 1,000 of
the population, estimated as above.
In the other portions of the Surrey Combined Sanitary District the highest Birth-rate for the year
was 26.4, and the lowest was 17.4; while the highest Death-rate was 13.9, and the lowest was 8.2.
4. As to the Infont Mortality. The Deaths of Infants under one year were 29 in number, as against
20 in the preceding year, and were equal to 18 per cent. of the registered births, which is much above
their previous average rate in the Parish. This high infant mortality was chiefly due to the unusually
large number of deaths from diarrhœ.
5. The deaths from pulmonary Consumption (seven in number) were at the rate of 1.2 per 1,000 of
the estimated population, and were about the previous average rate in the Parish.
6. The deaths from other lung diseases (Bronchitis, Pleurisy, and Pueumonia) were 16 in number,
as against seven in the preceding year, and were at the rate of 2-8 per 1,000 of the estimated population,
which is above their previous average rate in the Parish.
(See also Tables 1., II,. and V. at the end of the Report.)
II.-Summary of Sickness and Mortality from the Seven Principal Zymotic
Diseases, and form the other Diseases which must be notified under
the Infectious Diseases (Notification) Act, 1889, and of the action
taken for preventing their spread.
1. No Case of Small Pox was reported during the year.
2. Measles caused no death.
3. Whooping Cough caused no death.
4. Scarlet Fever (otherwise called Scarlatina) was unusually prevalent in the district during the last
three months of the year, as will be seen on reference to Table III. at the end of the report. Altogether,
28 cases were notified in 20 houses, nine of which were in and near Mill Lane. At the end of November,
attendance at the Infant School in Mill Lane was contributing very largely to the spread of the disease,
and the School was accordingly closed, by my advice, from December 3rd to the end of the year. Four
of the sick were admitted for treatment into the Sutton Urban District Council's hospital at Sutton,
whence one of them was afterwards removed to the new Joint Hospital on Cuddington Downs ; five were
admitted into the Epsom Rural District Council's temporary hospital on Clieam Common, and were afterwards
transferred to the Joint Hospital, and eighteen were removed direct to the Joint Hospital, where
two of them died.