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
Fulham 1897
Annual report of the Medical Officer of Health for the year ending December 31st, 1897
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There was a larger proportion of adults, in whom the disease is much
less fatal than in children, among those treated at home than among those
removed to hospital, and although the difference between the fatality of the
two classes was, for all ages, but slight, there was a marked difference in that
of the cases under 10 years of age, the case mortality among children of
that age treated in hospital being 18.5 per cent., whereas among those of
the same age treated at home it was 25.5 per cent.
COMPARATIVE PREVALENCE OF DIPHTHERIA IN FULHAM.
In London Diphtheria showed a somewhat decreased prevalence in
1897, the cases notified being 13,192 against 13,808 in 1896, but they were
in excess of those notified in any other year.
The disease showed the highest proportional prevalence in Hackney,
Holborn, Clerkenwell, St. Luke's, Bethnal Green, Whitechapel, Mile End,
Poplar and Camberwell sanitary areas.
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. | |
| Fulham | 1.1 | 0.7 | 1.0 | 2.2 | 3.1 | 3.4 | 3.0 | 2.07 | 3.2 |
| Kensington | 1.4 | 1.1 | 1.0 | 2.1 | 1.6 | 2.2 | 2.1 | 1.64 | 1.9 |
| Hammersmith | 2.3 | 2.9 | 2.7 | 2.7 | 1.7 | 1.8 | 2.1 | 2.31 | 1.5 |
| Chelsea (Home District) | 2.3 | 2.2 | 2.2 | 2.7 | 2.8 | 3.6 | 5.7 | 3.02 | 3.2 |
| London | 1.5 | 1.4 | 1.9 | 3.0 | 2.4 | 2.5 | 3.1 | 2.25 | 3.0 |
Deaths from Diphtheria per 1,000 Inhabitants.
| 1888. | 1889. | 1890. | 1891. | 1892. | 1893. | 1894. | 1895. | 1896. | Average for 1o yrs. | 1897. | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Fulham | 0.13 | 0.15 | 0.25 | 0.21 | 0.32 | 0.63 | 0.99 | 0.70 | 0.66 | 0.43 | 0.52 |
| Kensington | 0.55 | 0.67 | 0.20 | 0.17 | 0.20 | 0.49 | 0.46 | 0.53 | 0.4O | 0.43 | 0.47 |
| Ham'rsmith | 0.42 | 0.49 | 0.51 | 0.75 | 0.74 | 0.53 | 0.49 | 0.43 | 0.49 | 0.53 | 0.28 |
| Chelsea | 0.15 | 0.25 | 0.58 | 0.17 | 0.41 | 0.54 | 0.56 | 0.59 | 1.17 | 0.46 | 0.56 |
| London | 0.31 | 0.38 | 0.33 | 0.32 | 0.44 | 0.75 | 0.61 | 0.52 | 0.59 | 0.45 | 0.50 |