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
Chelsea 1897
Annual report for 1897 of the Medical Officer of Health
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Table IX.—Case Mortality in Chelsea, and in London, 1890-97.
| Scarlet Fever. | Diphtheria and Membranous Croup. | Enteric Fever. | ||||
|---|---|---|---|---|---|---|
| Chelsea. | London. | Chelsea. | London. | Chelsea. | London. | |
| 1890 | 7.0 | 5.7 | 17.6 | 24.1 | 17.4 | 23.0 |
| 1891 | 3.6 | 5.1 | 15.4 | 22.5 | 17.4 | 15.6 |
| 1892 | 5.3 | 4.3 | 22.9 | 23.9 | 13.6 | 17.2 |
| 1893 | 5.3 | 4.3 | 23.4 | 24.5 | 22.1 | 18.4 |
| 1894 | 5.1 | 5.2 | 21.7 | 23.6 | 14.7 | 18.1 |
| 1895 | 4.0 | 4.2 | 18.7 | 20.4 | 18.4 | 17.0 |
| 1896 | 4.9 | 3.7 | 22.9 | 19.3 | 14.7 | 17.7 |
| 1897 | 3.5 | 3.4 | 17.9 | 17.1 | 26.4 | 18.8 |
It will be noticed that both in Chelsea and in London last year
the case mortalities of scarlet fever and diphtheria were lower than in
1896, indicating that in both of these diseases the type was milder in
character than in 1896. In enteric fever, on the other hand, the case
mortality in Chelsea was unusually high, but the number of eases being
small accidental fluctuations are especially prone to occur.
Table X. exhibits the removals of patients suffering from scarlet
fever, diphtheria, and enteric fever, from their homes to hospitals, in
each of the eight years, 1890-97, expressed as percentages of the total
number of cases notified.
Table X.—Percentage Removals to Hospitals.
| Scarlet Fever. | Diphtheria. | Enteric Fever. | |
|---|---|---|---|
| 1890 | 37 | 20 | 29 |
| 1891 | 40 | 15 | 22 |
| 1892 | 48 | 27 | 32 |
| 1893 | 50 | 41 | 38 |
| 1894 | 71 | 58 | 63 |
| 1895 | 55 | 62 | 51 |
| 1896 | 61 | 56 | 56 |
| 1897 | 76 | 67 | 54 |
Prevalence of Diphtheria and Scarlet Fever in the various districts of
Western London from 1890 to 1897.
The following Tables XI. and XII. are based upon the notified
cases of diphtheria and membranous croup, and of scarlet fever respectively,
in each of the eight parishes constituting Western London, in