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

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Chelsea 1893

Annual report for 1893 of the Medical Officer of Health

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Table V.—For the Year 1893.

Birth-rate per 1,000.Death-rate per 1,000.Zymotic death-rate.Influenza death-rate.Phthisis death-rate.Other Tubercular Diseases death-rate.Respiratory diseases death-rate.Deaths under I year, to 1,000 births.Percentage of deaths under 5 to total deaths.
Chelsea29.220.03.00.342.00.684.316035.4
London31.021.33.10.351.90.794.616438.5

The mortality from diphtheria was largely in excess of the
average of the past 10 years (see Tables VI. and VII.), but even
Chelsea's figure for the past year is greatly below Chelsea's proportion
of the total diphtheria deaths in London, showing that there
must have been many districts in London which suffered more
severely from this disease in 1893 than did our own parish.
Scarlet fever was very prevalent from early in the summer of
1893 until the close of the year, but notwithstanding this prevalence,
and the fact that very many cases had to be refused admission to
the Metropolitan Asylums Board Fever Hospitals, thus multiplying
centres for the diffusion of infection in the various quarters of the
parish, the mortality from this disease has been quite moderate in
amount.
Diarrhoea mortality continues to be somewhat excessive in
Chelsea as compared with all London. The hot, dry, summer
of the past year was, however, favourable to acute summer
diarrhoea and choleraic attacks, and the failure of Asiatic cholera to
establish a hold in London during the past autumn is reassuring,
considering the many conditions favouring its then introduction.
Except for measles, the zymotic mortality of Chelsea in 1893
was in excess of the average of the preceding nine years (1884-92.)

Table VI.—Zymotic Disease Mortality in Chelsea in 1893.

Actual number of Deaths in Chelsea.Chelsea's proportion of total London Deaths according to its population.
Small Pox15
Measles2038
Scadet Fever3236
Diphtheria4874
Whooping Cough6853
Fever (chiefly Typhoid)1816
Diarrhœa10979
Influenza3335