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

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Hackney 1899

Report on the sanitary condition of the Hackney District for the year 1899

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diarrhoea and enteritis claim 300, tubercular diseases 56, lung
diseases 150, debility and wasting 134, infectious diseases 84,
accidents and violence 36, a total of 760 or three-fourths of the whole
for the year. My reason for thus particularising is to draw attention
to the fact that many of these diseases are preventible. Amongst
the deaths under the head of accident and violence were 19 from
overlaying. These clearly were preventible, and many deaths from
summer diarrhoea and wasting are due to improper feeding. Many
deaths from infectious disease, especially measles and whooping
cough, would be prevented if parents realised the gravity of these
diseases, and understood the value of isolation in preventing their
spread, and the danger of a fatal issue from complications by exposure
and want of proper treatment. In addition, many deaths of
infants are no doubt due to lung disease, induced by improper clothing
and exposure to cold. These facts were brought to the notice of
the Public Health Committee, and, as a consequence, I was instructed
to draw up a memorandum on the feeding and care of infants for
public distribution. This I did, and have arranged (by the consent of
the Superintendent Registrar of Births) with the District Registrars,
to give a copy of the memorandum with each birth certificate issued.
A copy of the memorandum will be found in the appendix.

Table IV.—Eleven principal causes of Infant Mortality.

First Quarter.Second Quarter.Third Quarter.Fourth Quarter.Total
Measles7193029
Scarlatina00112
Whooping Cough763622
Teething375116
Diarrhœa661476165
Convulsions1819161770
Lung Diseases45291561150
Tubercular Diseases158211256
Atrophy and Debility24264242134
Premature Birth25343530124
Accidents & Violence9791136
Total159161297187804
Other Causes483514141265
Total2071964382281,069