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

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Hackney 1886

Report on the sanitary condition of the Hackney District for the year 1886

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in the 10 years 1876-85. The number of deaths from diptheria
in all London, was 863 in 1882; 951 in 1883; 973 in 1884;
896 in 1885 ; and 846 in 1886, showing how unlike its mortality
is to that of ordinary infectious diseases.
Whooping Cough caused a large number of deaths in 1886,
the number registered in this district having been 123, against
an average of 111. The mortality, however, was greater in
1884, when it was 157; in 1882, when it reached 182; in 1878
when it was 135; and in 1876, 126. The smallest number of
deaths was registered in 1877, viz., 43. There was not any
deaths registered from Typhus, which is a very rare disease in
this district, but there were 53 deaths from Enteric Fever, which
was about an average. Very special enquiries were made as to
the cause of this disease, but, as already stated, with little result,
except a comparatively negative one. The deaths from enteric
fever do not vary very largely in this district, as they were 64 in
1881; 63 in 1882; 46 in 1883; 84 in 1884; 37 in 1885; and
53 in 1886. It caused 14.3 deaths, in each 1,000 deaths from
all causes.
The mortality from Diarrhea was above the average, as 199
deaths were registered, against a mean of 127. This was a
larger number than I should have expected, as the hot weather
was not of long duration, but the number of deaths rose very
suddenly in July, when the hot weather set in, and the highest
temperature suddenly rose to 85.6, and reached 89, being much
above the highest temperature for several years.
The annual average of deaths from these zymotic diseases
in this district, during the 10 years 1876-85, was 578, giving
170 deaths out of each 1,000 deaths from all causes, whilst in
London, the average number for these years was 13040, and the
proportion to deaths from all causes, 160, being 10 less than for
this district. The great mortality from small-pox, was the chief
cause of this excess. In 1886, the number of deaths in all
London from these diseases was 11, 121, or more than 1,900 below
the mean, and for the Hackney District, 584, or a little above