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
Marylebone 1893
The sanitary chronicles of the Parish of St. Marylebone being the annual report of the Medical Officer of Health for the year 1893
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30 per cent., in the other only 3 per cent.; and yet the
mortality of 3 for the one and 30 for the other would be
normal, and would show neither exceptional severity nor
exceptional mildness of the disease, nor could it be maintained
that the 30 per cent. mortality showed bad
administration.
By the aid of the standard rates of mortality, deduced
from no less than 55,000 cases treated at the Asylum Board
Hospitals, it is practicable to correct the deaths from
scarlet fever in the St. Marylebone Temporary Hospital
for the disturbing influence of age and sex, and to ascertain
how many would have died had the Asylum Board mortality
been exactly followed in the St. Marylebone Temporary
Hospital.
I have done this in the annexed table, from which it
appears that if the mortality had been precisely that of the
Asylum Board, the number of deaths would have been
22.4, and they were as before stated 23.
It is therefore clear that, notwithstanding the unfortunate outbreak of measles, the number of deaths was precisely what might have been on
| Scarlet Fever Admitted. | Standard Mortality as Board Hospitals. (55,204 cases 1871—1892). | Theoretical number of Deaths. | Actual Deaths. | |||||
|---|---|---|---|---|---|---|---|---|
| M. | F. | M. | F. | M. | F. | M. | F. | |
| Under 1 | 2 | 2 | 26.6 | 36.1 | 0.5 | 0.7 | 1 | |
| 1—2 | 4 | 3 | 28.0 | 28.8 | 1.1 | 0.9 | 3 | 1 |
| 2—3 | 9 | 8 | 22.4 | 22.9 | 2.0 | 1.8 | 5 | 1 |
| 3—4 | 13 | 8 | 17.9 | 15.4 | 2.3 | 1.2 | 1 | |
| 4—5 | 15 | 11 | 11.6 | 10.9 | 1.7 | 1.2 | 1 | |
| 5—10 | 52 | 49 | 6.4 | 5.7 | 3.3 | 2.7 | 1 | 6 |
| 10—15 | 32 | 29 | 2.9 | 2.8 | 0.9 | 0.8 | 2 | |
| 15—20 | 19 | 9 | 3.6 | 2.4 | 0.7 | 0.2 | ||
| 20—25 | 4 | 3 | 2.7 | 3.0 | 0.1 | 0.1 | 1 | |
| 25—30 | 3 | 4 | 4.9 | 3.2 | 0.1 | 0.1 | ||
| 30—35 | 1 | 4.8 | 5.5 | |||||
| 153 | 17 | 12.7 | 9.7 | 12 | 11 | |||
| 280 | 22.4 | 23 | ||||||