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

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Fulham 1893

Annual report of the Medical Officer of Health for the year ending December 31st, 1893

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16
one of the Board's proposed new Hospitals, as this increased cost is
due to the fact that more space will be allotted to the patients,
economy practised at the expense of the patients can hardly be
seriously advocated.

The following table gives the Cases and Deaths in Age Periods

AGE.CASES.DEATHS.
Under 1 year112
1 to 5 years18020
5 „ 15 „4238
15 „ 25 „611
25 „ 35 „211
35,, 45 „4-
45 „ 55--
55 „ 65 „11

Two of the deaths were of women, who died of Scarlet Fever
within a week of confinement.
Diphtheria and Membranous Croup.
Diphtheria has shown a greatly-increased prevalence throughout
London during the year, 13694 cases being notified, against 5907 and
8349 in the two preceding year.
In Fulham, 230 cases of Diphtheria and 20 of Membranous Croup,
which is Laryngeal Diphtheria, were notified. Of these 250 cases, 65
proved fatal, a mortality of 26.1 per cent. 119 patients were removed
to a Hospital, of whom 37 died, a mortality of 31 per cent. Of the
131 who were treated at home, 28 died, a morality of 21 percent.
The difference in the rate of mortality is certainly not greater than we
would expect, as many of the patients removed died within a few hours
of their admission; while some of the cases treated at home were of a very
mild type, as patients when visited on the day of notification were
found to be engaged at their ordinary occupation.
The 65 deaths from the disease represent a death rate of 0.61 per
1000, the rate for the whole of London being 0.74, and the average
number of deaths in Fnlham during the previous six years was 20.