Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Report on the sanitary condition of the Borough of Bermondsey for the year 1902
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seems to be a general impression that condensed milk is purer and less easily contaminated
when opened than cow's milk, but this is not so, and I do not consider it an adequate substitute
for fresh cow's milk.
From these remarks it will be seen that the question of infantile mortality is very closely
bound up with our milk supply. This will be adverted to later. Even in those cases in which
children are nursed by the mothers, the milk which the latter can give is often of poor quality
owing to bad and improper living. There is an old idea that mothers nursing should consume a
quantity of stout and similar alcoholic drinks, and in consequence of this they frequently live on
these to the neglect of better food, the result being that both mother and infant suffer. The sooner
this idea is exploded the better, and no one is better able to do this than the general practitioner,
who, I hope, will advise against this pernicious habit.
TABLE D.-INFANTILE MORTALITY.
Year.
Bermondsey.
Rotherhithe.
St. Olave.
Whole Borough.
London.
No. of
Deaths.
Rate per
1000 Births.
No. of
Deaths.
Rate per
1000 Births.
No. of
Deaths.
Rate per
1000 Births.
No. of
Deaths.
Rate per
1000 Births.
No. of
Deaths.
Rate Per
1000 Births.
183
1892
516
162
198
150
85
799
161
20,282
154
1893
537
168
227
165
58
141
822
165
21,746
164
218
1894
451
146
161
55
114
724
147
18,604
143
1895
520
162
193
148
88
205
801
162
22,013
165
1896
513
160
214
159
64
153
791
21,695
160
159
190
219
174
67
154
891
21,106
1897
605
183
158
157
220
169
47
132
752
158
21,931
1898
485
166
574
187
215
169
53
147
842
180
22,129
166
1899
120
526
186
243
205
48
817
185
20,730
1900
158
170
215
176
42
132
754
169
19,412
1901
497
148
Average for
years
1892 to 1901.
522
169
216
168
61
799
167
20,965
158
148
159
174
149
49
153
678
156
18,478
139
1902
455
Senile Mortality.
The number of deaths over 65 years in 1902 was 473. This is a slight excess over the
number in 1901, viz., 449, and is largely due to an increase in deaths from bronchitis, the
numbers for which were 98 in 1901 and 118 in 1902.
Death Certification.
There were 16 uncertified deaths during 1902.
Zymotic Diseases.
The following table gives the death rates for the principal zymotic diseases. Corresponding
figures are given for London for comparison.
TABLE E.
Year.
All Causes.
Principal
Zymotic
Diseases.
Small-Pox.
Measles.
Scarlet
Fever.
Diphtheria.
Whooping
Cough.
Typhus
Fever.
Enteric
Fever.
Simple
Continued
Fever.
Diarrhœa.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
1892
3126
22·8
388
2·83
129
·94
39
·28
34
·25
80
·58
3
·02
15
·11
-
88
·64
-
-
-
1893
3243
23·6
440
3·21
18
·13
47
·34
52
·38
118
.86
82
·60
1
·00
18
·13
104
·76
-
-
1894
2766
20·1
449
3·27
1
·00
139
1·01
42
·31
100
·73
71
·52
1
·00
18
·13
77
·56
-
-
127
1895
2966
21·6
411
2·99
1
·00
136
·99
24
·17
64
·46
37
·27
22
·16
·92
-
-
-
-
1896
2968
21·6
542
3·95
129
·94
35
·25
108
·79
146
1·06
24
·17
100
·73
-
-
-
-
-
-
1897
2902
21·4
537
3·95
103
·76
58
·43
85
·62
87
·64
16
·12
188
1·38
-
-
-
-
-
-
1898
2776
20·6
375
2·79
97
·72
30
·22
58
·43
73
·54
11
·08
106
·79
-
-
-
-
-
-
1899
3204
24·1
440
3·31
92
·69
23
·17
129
·97
·32
2
·01
31
·23
120
-
43
·90
-
-
-
1900
3062
23·2
437
3·32
87
·66
14
·11
88
·67
94
·71
37
·28
117
·89
-
-
-
-
-
-
1901
2719
20·8
387
2·96
14
·10
76
·58
45
·34
36
·27
56
·42
22
·16
5
·03
133
1·0
-
-
·27
·57
·7
·00
21
Average
for years
1892-1901.
2973
22·0
441
3·26
3·4
·02
103
·76
36
82
·60
77
·16
·5
0·00
116
·86
-
1902
2756
21·3
396
3·06
31
·24
154
1·19
18
·14
29
·22
64
·49
-
12
·09
-
-
88
·68
-
1159
·25
1876
·41
-
537
·12
4
·00
2470
·53
London
17·5
2360
·12
80105
10280
2·24
1314
·29
·51
560
TABLE D.-INFANTILE MORTALITY.
Year. | Bermondsey. | Rotherhithe. | St. Olave. | Whole Borough. | London. | |||||
---|---|---|---|---|---|---|---|---|---|---|
No. of Deaths. | Rate Per 1000 Births. | No. of Deaths. | Rate per 1000 Births. | No. of Deaths. | Rate per 1000 Births. | No. of Deaths. | Rate per 1000 Births. | No. of Deaths. | Rate per 1000 Births. | |
1892 | 516 | 162 | 198 | 150 | 85 | 183 | 799 | 161 | 20,282 | 154 |
1893 | 537 | 168 | 227 | 165 | 58 | 141 | 822 | 165 | 21,746 | 164 |
1894 | 451 | 146 | 218 | 161 | 55 | 114 | 724 | 147 | 18,604 | 143 |
1895 | 520 | 162 | 193 | 148 | 88 | 205 | 801 | 162 | 22,013 | 165 |
1896 | 513 | 160 | 214 | 159 | 64 | 153 | 791 | 159 | 21,695 | 160 |
1897 | 605 | 190 | 219 | 174 | 67 | 154 | 891 | 183 | 21,106 | 158 |
1898 | 485 | 157 | 220 | 169 | 47 | 132 | 752 | 158 | 21,931 | 166 |
1899 | 574 | 187 | 215 | 169 | 53 | 147 | 842 | 180 | 22,129 | 166 |
1900 | 526 | 186 | 243 | 205 | 48 | 120 | 817 | 185 | 20,730 | 158 |
1901 | 497 | 170 | 215 | 176 | 42 | 132 | 754 | 169 | 19,412 | 148 |
Average for years 1892 to 1901. | 522 | 169 | 216 | 168 | 61 | 148 | 799 | 167 | 20,965 | 158 |
1902 | 455 | 159 | 174 | 149 | 49 | 153 | 678 | 156 | 18,478 | 139 |
TABLE E.
Year. | All Causes. | Principal Zymotic Diseases. | Small-Pox. | Measles. | Scarlet Fever. | Diphtheria. | Whooping Cough. | Typhus Fever. | Enteric Fever. | Simple Continued Fever. | Diarrhœa. | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | No. | Rate. | |
1892 | 3126 | 22·8 | 388 | 2·83 | – | – | 129 | ·94 | 39 | ·28 | 34 | ·25 | 80 | ·58 | 3 | ·02 | 15 | ·11 | – | – | 88 | ·64 |
1893 | 3243 | 23·6 | 440 | 3·21 | 18 | ·13 | 47 | ·34 | 52 | ·38 | 118 | 86 | 82 | ·60 | 1 | ·00 | 18 | ·13 | – | – | 104 | ·76 |
1894 | 2766 | 20·1 | 449 | 3·27 | 1 | ·00 | 139 | 1·01 | 42 | ·31 | 100 | ·73 | 71 | ·52 | 1 | ·00 | 18 | ·13 | – | – | 77 | ·56 |
1895 | 2966 | 21·6 | 411 | 2·99 | 1 | ·00 | 136 | ·99 | 24 | ·17 | 64 | ·46 | 37 | ·27 | – | – | 22 | ·16 | – | – | 127 | ·92 |
1896 | 2968 | 21·6 | 542 | 3·95 | – | – | 129 | ·94 | 35 | ·25 | 108 | ·79 | 146 | 1·06 | – | – | 24 | ·17 | – | – | 100 | ·73 |
1897 | 2902 | 21·4 | 537 | 3·95 | – | – | 103 | ·76 | 58 | ·43 | 85 | ·62 | 87 | ·64 | – | – | 16 | ·12 | – | – | 188 | 1·38 |
1898 | 2776 | 20·6 | 375 | 2·79 | – | – | 97 | ·72 | 30 | ·22 | 58 | ·43 | 73 | ·54 | – | – | 11 | ·08 | – | – | 106 | ·79 |
1899 | 3204 | 24·1 | 440 | 3·31 | – | – | 92 | ·69 | 23 | ·17 | 129 | ·97 | 43 | ·32 | 2 | ·01 | 31 | ·23 | – | – | 120 | ·90 |
1900 | 3062 | 23·2 | 437 | 3·32 | – | – | 87 | ·66 | 14 | ·11 | 88 | ·67 | 94 | ·71 | – | – | 37 | ·28 | – | – | 117 | ·89 |
1901 | 2719 | 20·8 | 387 | 2·96 | 14 | ·10 | 76 | ·58 | 45 | ·34 | 36 | ·27 | 56 | ·42 | – | – | 22 | ·16 | 5 | ·03 | 133 | 1·0 |
Average for years 1892-1901. | 2973 | 22·0 | 441 | 3·26 | 3·4 | ·02 | 103 | ·76 | 36 | ·27 | 82 | ·60 | 77 | ·57 | ·7 | ·00 | 21 | ·16 | ·5 | 0·00 | 116 | ·86 |
1902 | 2756 | 21·3 | 396 | 3·06 | 31 | ·24 | 154 | 1·19 | 18 | ·14 | 29 | ·22 | 64 | ·49 | – | – | 12 | ·09 | – | – | 88 | ·68 |
London | 80105 | 17·5 | 10280 | 2·24 | 1314 | ·29 | 2360 | ·51 | 560 | ·12 | 1159 | ·25 | 1876 | ·41 | – | – | 537 | ·12 | 4 | ·00 | 2470 | ·53 |