Annual report of the Medical Officer of Health for the year ending December 31st, 1897

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The following Table gives the estimated number of persons living in Fulham at different ages, assuming the age constitution of the district to be the same as in 1891, no particulars of age having been required to be given at the Census of 1896 :—

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The following Table gives the number of persons at different ages in Fulham, London, and other areas, expressed in per centages of the total population :—

	Under 5	5-15	15-25	25-35	35-45	45-55	55-65	65-75	Over 75

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The following Table gives the number of births registered in Fulham, together with the birth-rate during the previous 10 years.:—

	Males.	Females.	Total.	Birth Rate.

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Corrected in this way, the death-rates of Fulham, the adjoining parishes, and the Metropolis were as under:—

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The following Table gives the death-rates of Fulham and London, uncorrected for age and sex distribution during the previous 10 years:—

	Fulham Death-rate per 1,000.	London Death-rate per 1,000.

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SEASONAL MORTALITY. The mortality in the four quarters of the year was as under:—

	Number of Deaths,	Death-rate.

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DISTRIBUTION OF DEATHS. The following Table gives the number of deaths and the death-rate in each of the wards, into which the parish is divided:—

	Number of Deaths.	Death-rate.

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The following table gives the infantile mortality in Fulham and London during the 5 years, 1893-1898:—

	Death of Infants under 1 year per 1,000 births.		Death-rate of Children under the age of 5 years.
	Fulham.	London.	Fulham.	London.

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DEATHS AND DEATH-RATE FROM ZYMOTIC DISEASES. 360 deaths were due to the seven principal Zymotic diseases, viz.:—

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During the past 10 years the number of deaths and the death-rate from these diseases have been as under:—

	Deaths.	Death Rate.

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The following Table shows the mortality from Zymotic diseases in Fulham as compared with London and the three adjacent parishes:—

Disease.	Actual number of deaths in Fulham.	Fulham's proportion if mortality was the same as in London.	Fulham's proportion if mortality was the same as in 3 adjoining Western districts, viz., Hammersmith, Chelsea and Kensington.

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Notifiable Infectious Diseases. The following Table gives the number of cases of infectious diseases notified in Fulham since 1890, when compulsory notification came into force, excluding duplicate notifications:—

	1890	1891	1892	1893	1894	1895	1896	1897

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Number of cases of Scarlet Fever notified per 1,000 inhabitants:—

								Average for 7 years
	1890	1891	1892	1893	1894	1895	1896	1890-96	1897

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The distribution of the cases was as under:—

	Cases	Cases per 1,000 of the population	Deaths

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hospitals of the Metropolitan Asylums' Board was 9.3 per cent., while for the last 5 years the mortality has been as under:—

	Fulham Deaths per 100 cases notified	London Deaths per 100 cases notified	Metropolitan Asylum's Board's Hospital's Deaths per 100 cases admitted

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The distribution of the cases was as follows:—

	Cases	Cases per 1,000 of the population	Deaths

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The following Table shows the fatality at different age-periods of the cases treated at home and of those removed to hospital:—

Age	Cases removed to Hospital			Cases treated at home
Age	No. of Cases	Deaths	Mortality per cent.	No. of Cases	Deaths	Mortality per cent.

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The comparative prevalence and fatality of Diphtheria in Fulham, the adjoining parishes and London will be seen from the two following Tables which give the rates of incidence and fatality of the disease in the several localities:—

	Cases notified per 1,000 Inhabitants.							Average for 7 years.
	1890.	1891.	1892.	1893.	1894.	1895.	1896.	1890—96.	1897.

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Deaths from Diphtheria per 1,000 Inhabitants.

	1888.	1889.	1890.	1891.	1892.	1893.	1894.	1895.	1896.	Average for 1o yrs.	1897.

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DIPHTHERIA AND PRIMARY SCHOOLS. The following Table gives the number of children attending the Board and other primary schools in Fulham, who were notified in each month as suffering from Diphtheria :—

School.	Jan.	Feb.	Mar.	April	May	June	July	Aug.	Sept.	Oct.	Nov.	Dec.	Total

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In London and the adjoining parishes the cases notified were:—

	Cases notified per 10,000 inhabitants.

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The death rate from the disease in Fulham, London, and the adjoining parishes was:—

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The distribution of the deaths was as follows:—

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The following Table gives the Phthisis death-rates of Fulham and the adjoining parishes of London for the past five years:—

	1893	1894	1895	1896	1897

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The total number of deaths recorded as occurring within 21 days of childbirth was 19, the causes assigned being—

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From the other classes of Local Diseases there were 233 deaths, viz.:—

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Class VII. Different forms of violence caused 77 deaths. ACCIDENT OR NEGLIGENCE.

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The subjects were, males 115, females 67 ; and their ages—

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Those due to natural causes may be classified as follows:—

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The deaths of parishioners in public institutions and elsewhere outside the parish numbered 209, and occurred in the following places:—

	No. of Deaihs of Parishioners of Fulham.

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Public Mortuary. 158 bodies were removed to the Mortuary during the year and were admitted as follows:—

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SUPPLEMENTAL RETURN FOR 1896 FOR THE PARISH OF FULHAM.

No. of Births Registered from ist Jan., 1896, to 31st Dec., 1896.	Successfully Vaccinated.	Insusceptible Of Vaccination .	Had Small Pox.	Dead.	Postponed by Medical Certificate.	Removed.	Outstanding.

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RETURN OF VACCINATION FOR THE PERIOD FROM JANUARY TO JUNE 1897, FOR THE PARISH OF FULHAM.

No. of Births Registered from 1st Jan., to 30th June, 1897.	Successfully Vaccinated.	Insusceptible of Vaccination,	Had Small Pox.	Dead.	Postponed by Medical Certificate.	Removed.	Outstanding.

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Housing of the Working Classes Act, 1890. The following houses were represented to the Sanitary Authority under the provisions of the above Act as being in a state so dangerous or injurious to health as to be unfit for human habitation:—

Description of Premises	Number of Dwellings.	Action Taken.

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The following Table gives a summary of the action taken under Housing of the Working Classes Act, in the last five years:—

Total number of Houses represented by the Medical Officer of Health as unfit for habitation.	Number of Houses closed, demolished or improved without Magisterial intervention.				Number of Houses for which Closing Orders were granted.
	Closed.	Demolished.	Improved.	Total.	Subsequently demolished.	Subsequently improved and re-opened.	Still closed.	Total.

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Prosecutions under the Public Health (London) Act, 1891, and Metropolis Local Management Acts. Prosecutions under the Public Health (London) Act, 1891, were instituted by the Vestry in the following cases:—

Defendant.	Offence	Result.

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Defendant. Offence. Result.

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Defendant.	Offence.	Result.

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Sale of Food and Drugs Acts. The following samples were taken for analysis during the year:—

	No. of Samples.	No. Adulterated.

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One sample was obtained for every 583 of the population, as compared with one for every 414 persons in London in 1896. Prosecutions were instituted by the Vestry in the following cases:—

Defendant.	Offence.	Result.

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Defendant.	Offence.	Result.

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Defendant.	Offence.	Result.

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Cow-Houses. The licenses of the following cow-houses were renewed by the County Council in October, the renewal of the licenses being unopposed:—

Situation.	Licensee.	Average No. of Cows kept.

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Table of DEATHS during the year 1897, in the FULHAM District, classified according to Diseases, Ages, and Localities.

Mortality from all Causes, at subjoined Ages							Mortality from subjoined Causes, distinguishing Deaths of Children under Five Years of Age
(b) At all ages	(c) Under 1 year	(d) 1 and under 5	(e) 5 and under 15	(f) 15 and under 25	(g) 25 and under 65	(h) 65 and upwards	1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16	17	18	19	20	21	22
							Small-pox	Scarlatina	Diphtheria	Membranous Croup	Fevers					Cholera	Erysipelas	Measles	Whooping Cough	Diarrhæa and Dysentery	Rheumatic Fever	Phthisis	Bronchitis, Pneumonia and Pleurisy	Heart Disease	Influenza	Injuries	All other Diseases	Total
							Small-pox	Scarlatina	Diphtheria	Membranous Croup	Typhus	Enteric or Typhoid	Continued	Relapsing	Puerperal	Cholera	Erysipelas	Measles	Whooping Cough	Diarrhæa and Dysentery	Rheumatic Fever	Phthisis	Bronchitis, Pneumonia and Pleurisy	Heart Disease	Influenza	Injuries	All other Diseases	Total

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(B) Table of POPULATION, BIRTHS, AND OF NEW CASES OP INFECTIOUS SICKNESS, coming to the knowledge of the Medical Officer of Health during the year 1897, in the FULHAM District; classified according to Diseases, Ages, and Localities.

Population at all Ages		New Cases of Sickness in each locality coming to the knowledge of the Medical Officer of Health												Number of such Cases removed from their Homes in the Several localities for treatment in Isolation Hospital
Last Census. (b)	Estimated to middle of 1897 (c)	1	2	3	4	5	6	7	8	9	10	11	12	13	1	2	3	4	5	6	7	8	9	10	11
		Smallpox	Scarlatina	Diphtheria	Membranous Croup	Fevers					Cholera	Erysipelas			Smallpox	Scarlatina	Diphtheria	Membranous Croup	Fevers					Cholera	Erysipelas
		Smallpox	Scarlatina	Diphtheria	Membranous Croup	Enteric or Typhoid	Continued	Relapsing	Puerperal	Typhus	Cholera	Erysipelas			Smallpox	Scarlatina	Diphtheria	Membranous Croup	Enteric or Typhoid	Continued	Relapsing	Puerperal		Cholera	Erysipelas

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TABLE C. DEATHS REGISTERED FROM ALL CAUSES DURING THE YEAR 1897. Note.—The Deaths of Non-Residents occurring in Public Institutions are excluded, and the Deaths of Residents occurring in Public Institutions situated beyond the limits of the District are included.

CAUSES OF DEATH.	AGES.													Average Total all Ages 1893—96 allowing for increase of population
CAUSES OF DEATH.	0-1	1—5	5-15	15—25	25—35	35—45	45 – 55	55—65	65-75	75-85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893—96 allowing for increase of population
CAUSES OF DEATH.	0-1	1-5	5-15	15-25	25-35	35-45	45-55	55-65	65-75	75-85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893—96 allowing for increase of pop ulation.
CAUSES OF DEATH.	0—1	1—5	5-15	15—25	25—35	35-45	45-55	55—65	65—75	75—85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893—96 allowing for increase of population
CAUSES OF DEATH.	0—1	1-5	5-15	15—25	25-35	35-45	45—55	55-65	65—75	75-85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893-96 allowing for increase of population
CAUSES OF DEATH.	0-1	1-5	5—15	15—25	25-35	35—45	45—55	55—65	65—75	75—85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893—96 allowing for increase of population
CAUSES OF DEATH.	0—1	1—5	5—15	15-25	25—35	35—45	45—55	55-65	65—75	75-85	Over 85	Total under 5	Total all Ages

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CAUSES OF DEATH.	AGES.											Total under 5	Total all Ages	Average Total all Ages 1893—96 allowing for increase of population.
CAUSES OF DEATH.	0—1	1-5	5-15	15-25	25-35	35—45	45—55	55—65	65—75	75-85	Over 85	Total under 5	Total all Ages

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TABLE D. Summary of Table C, showing number of Deaths of Parishioners in each Class and Order. 1. SPECIFIC FEBRILE OR ZYMOTIC DISEASES—

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TABLE E. Showing the number of Deaths at All Ages in 1597 from certain Groups of Diseases, and proportions of 1,000 of Population, and to 1,000 Deaths from all causes.

	Total Deaths.	Deaths per 1,000 of population at all ages.	Deaths per 1,000 of Total Deaths at all ages.

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TABLE F. Infantile Mortality in Fulham. Table showing the number of Deaths of Infants under One Year from certain diseases, and the proportion to 1,000 births and to 1,000 deaths from all causes under One Year.

	Total Deaths.	Deaths per 1,000 Births.	Deaths per 1,000 of Total Deaths under one year.

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TABLE G. Showing the Deaths from the principal Zymotic diseases in the 10 years, 1887 to 1896 and in the year 1897.

	1887	1888	1889	1890	1891	1892	1893	1894	1895	1896	Annua] Average for 10 years,	Proportion of deaths to 1000 deaths in 10 years, 1887-1896.	Deaths in 1897	Proportion of deaths to 1000 deaths in 1897

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TABLE H. Showing the number of cases of Infectious Diseases notified to the several Metropolitan Medical Officers of Health during the year 1897.

Sanitary Areas	Estimated population in the middle of 1897	Small-pox	Scarlet Fever	Diphtheria	Typhus Fever	Enteric Fever	Other continued Fevers	Puerperal Fever	Erysipelas	Cholera	Total	Annual Rate per 1000 persons living

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Sanitary Areas	Estimated population in the middle of 1897	Small-pox	Scarlet Fever	Diphtheria	Typhus Fever	Enteric Fever	Other continued Fevers	Puerperal Fever	Erysipelas	Cholera	Total	Annual Rate per 1000 persons living

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Sanitary Areas	Estmated population in the middle of 1897	Small-pox	Scarlet Fever	Diphtheria	Typhus Fever	Enteric Fever	Other continued Fevers	Puerperal Fever	Erysipelas	Cholera	Total	Annual Rate per 1000 persons living

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Sanitary Areas	Estimated population in the middle of 1897	Small-pox	Scarlet Fever	Diphtheria	Typhus Fever	Enterie Fever	Other continued Fevers	Puerperal Fever	Erysipelas	Cholera	Total	Annual Rate per 1000 persons living

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Sanitary Areas	Estimated population in the middle of 1897	Smallpox	Scarlet Fever	Diphtheria	Typhus Fever	Enteric Fever	Other continued Fevers	Puerperal Fever	Erysipelas	Cholera	Total	Annual Rate per 1000 persons livings

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TABLE I. Comparative analysis of the mortality in Fulham, the adjoining parishes and London during the year 1897 per 1,000 persons living.

Deaths from
	All Cases	Principal Zymotic Diseases	Small-pox	Measles	Scarlet Fever	Diphtheria	Whooping Cough	Enteric Fever	Diarrhæa	Phthisis	Deaths under 1 year to 1,000 births registered

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TABLE J. Giving the Meteorological conditions of the 52 weeks ending January 2nd, 1898, together with the number of Deaths from certain diseases and at certain ages.

Week Ending	Mean Temperature	Highest Temperature	Lowest Temperature	Mean Temperature of the earth, 3 feet below surface	Mean Height of Barometer	Rainfall—in Inches	Sunshine—in Hours	Prevailing Wind	Total Deaths	Deaths under 1 year	Deaths over 60	Deaths from Respiratory Diseases	Deaths from Phthisis	Deaths from Zymotic Diseases excluding Diarrhoea	Deaths from Diarrhæa	Deaths from Violence

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Week Ending	Mean Temperature	Highest Temperature	Lowest Temperature	Mean Temperature of the earth, 3 feet below surface	Mean Height of Barometer	Rainfall—in Inches	Sunshine—in Hours	Prevailing Wind	Total Deaths	Deaths under 1 year	Deaths over 60	Deaths from Respiratory Diseases	Deaths from Phthisis	Deaths from Zymotic Diseases excluding Diarrhæa	Deaths from Diarrhœa	Deaths from Violence

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TABLE K. Showing the localities in which cases of Notifiable Infectious Diseases and Deaths from Measles and Diarrhœa occurred during the year. The figures in brackets denote the number of houses in which the cases occurred. The asterisks denote the fatal cases of the Notifiable Diseases.

	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhæa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deates from Diarrhæa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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	Scarlet Fever	Diphtheria	Membranous Croup	Enteric Fever	Continued Fever	Puerperal Fever	Cholera	Erysipelas	Deaths from Measles	Deaths from Diarrhœa

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

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Fulham 1897

75 tables in this report

The following Table gives the estimated number of persons living in Fulham at different ages, assuming the age constitution of the district to be the same as in 1891, no particulars of age having been required to be given at the Census of 1896 :—

The following Table gives the number of persons at different ages in Fulham, London, and other areas, expressed in per centages of the total population :—

The following Table gives the number of births registered in Fulham, together with the birth-rate during the previous 10 years.:—

Corrected in this way, the death-rates of Fulham, the adjoining parishes, and the Metropolis were as under:—

The following Table gives the death-rates of Fulham and London, uncorrected for age and sex distribution during the previous 10 years:—

SEASONAL MORTALITY. The mortality in the four quarters of the year was as under:—

DISTRIBUTION OF DEATHS. The following Table gives the number of deaths and the death-rate in each of the wards, into which the parish is divided:—

The following table gives the infantile mortality in Fulham and London during the 5 years, 1893-1898:—

DEATHS AND DEATH-RATE FROM ZYMOTIC DISEASES. 360 deaths were due to the seven principal Zymotic diseases, viz.:—

During the past 10 years the number of deaths and the death-rate from these diseases have been as under:—

The following Table shows the mortality from Zymotic diseases in Fulham as compared with London and the three adjacent parishes:—

Notifiable Infectious Diseases. The following Table gives the number of cases of infectious diseases notified in Fulham since 1890, when compulsory notification came into force, excluding duplicate notifications:—

Number of cases of Scarlet Fever notified per 1,000 inhabitants:—

The distribution of the cases was as under:—

hospitals of the Metropolitan Asylums' Board was 9.3 per cent., while for the last 5 years the mortality has been as under:—

The distribution of the cases was as follows:—

The following Table shows the fatality at different age-periods of the cases treated at home and of those removed to hospital:—

The comparative prevalence and fatality of Diphtheria in Fulham, the adjoining parishes and London will be seen from the two following Tables which give the rates of incidence and fatality of the disease in the several localities:—

Deaths from Diphtheria per 1,000 Inhabitants.

DIPHTHERIA AND PRIMARY SCHOOLS. The following Table gives the number of children attending the Board and other primary schools in Fulham, who were notified in each month as suffering from Diphtheria :—

In London and the adjoining parishes the cases notified were:—

The death rate from the disease in Fulham, London, and the adjoining parishes was:—

The distribution of the deaths was as follows:—

The following Table gives the Phthisis death-rates of Fulham and the adjoining parishes of London for the past five years:—

The total number of deaths recorded as occurring within 21 days of childbirth was 19, the causes assigned being—

From the other classes of Local Diseases there were 233 deaths, viz.:—

Class VII. Different forms of violence caused 77 deaths. ACCIDENT OR NEGLIGENCE.

The subjects were, males 115, females 67 ; and their ages—

Those due to natural causes may be classified as follows:—

The deaths of parishioners in public institutions and elsewhere outside the parish numbered 209, and occurred in the following places:—

Public Mortuary. 158 bodies were removed to the Mortuary during the year and were admitted as follows:—

SUPPLEMENTAL RETURN FOR 1896 FOR THE PARISH OF FULHAM.

RETURN OF VACCINATION FOR THE PERIOD FROM JANUARY TO JUNE 1897, FOR THE PARISH OF FULHAM.

Housing of the Working Classes Act, 1890. The following houses were represented to the Sanitary Authority under the provisions of the above Act as being in a state so dangerous or injurious to health as to be unfit for human habitation:—

The following Table gives a summary of the action taken under Housing of the Working Classes Act, in the last five years:—

Prosecutions under the Public Health (London) Act, 1891, and Metropolis Local Management Acts. Prosecutions under the Public Health (London) Act, 1891, were instituted by the Vestry in the following cases:—

Defendant. Offence. Result.

Sale of Food and Drugs Acts. The following samples were taken for analysis during the year:—

One sample was obtained for every 583 of the population, as compared with one for every 414 persons in London in 1896. Prosecutions were instituted by the Vestry in the following cases:—

Cow-Houses. The licenses of the following cow-houses were renewed by the County Council in October, the renewal of the licenses being unopposed:—

Table of DEATHS during the year 1897, in the FULHAM District, classified according to Diseases, Ages, and Localities.

(B) Table of POPULATION, BIRTHS, AND OF NEW CASES OP INFECTIOUS SICKNESS, coming to the knowledge of the Medical Officer of Health during the year 1897, in the FULHAM District; classified according to Diseases, Ages, and Localities.

TABLE C. DEATHS REGISTERED FROM ALL CAUSES DURING THE YEAR 1897. Note.—The Deaths of Non-Residents occurring in Public Institutions are excluded, and the Deaths of Residents occurring in Public Institutions situated beyond the limits of the District are included.

TABLE D. Summary of Table C, showing number of Deaths of Parishioners in each Class and Order. 1. SPECIFIC FEBRILE OR ZYMOTIC DISEASES—

TABLE E. Showing the number of Deaths at All Ages in 1597 from certain Groups of Diseases, and proportions of 1,000 of Population, and to 1,000 Deaths from all causes.

TABLE F. Infantile Mortality in Fulham. Table showing the number of Deaths of Infants under One Year from certain diseases, and the proportion to 1,000 births and to 1,000 deaths from all causes under One Year.

TABLE G. Showing the Deaths from the principal Zymotic diseases in the 10 years, 1887 to 1896 and in the year 1897.

TABLE H. Showing the number of cases of Infectious Diseases notified to the several Metropolitan Medical Officers of Health during the year 1897.

TABLE I. Comparative analysis of the mortality in Fulham, the adjoining parishes and London during the year 1897 per 1,000 persons living.

TABLE J. Giving the Meteorological conditions of the 52 weeks ending January 2nd, 1898, together with the number of Deaths from certain diseases and at certain ages.

TABLE K. Showing the localities in which cases of Notifiable Infectious Diseases and Deaths from Measles and Diarrhœa occurred during the year. The figures in brackets denote the number of houses in which the cases occurred. The asterisks denote the fatal cases of the Notifiable Diseases.