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

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Bermondsey 1904

Report on the sanitary condition of the Borough of Bermondsey for the year 1904

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Table G.
Simple
Continued
Fever.
Diarrhœa.
Scarlet
Fever.
Diphtheria.
Whooping
Cough.
Typhus
Fever.
Enteric
Fever.
Year.
All Causes.
Principal
Zymotic
Liseases.
Small-Pox.
Measles.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
No.
Rate.
71
18
.13
-
77
.31
100
.73
.52
.00
1894
2766
449
139
42
1
20.1
-
.56
3.27
1
.00
1.01
.27
-
.16
-
127
.92
21.6
.17
.46
37
-
22
1895
2966
2.99
.00
136
.99
24
64
-
411
1
100
.73
-
.17
-
.94
35
.79
1.06
24
1896
2968
21.6
542
3.95
-
129
.25
108
146
-
-
-
.62
.12
-
188
1.38
.76
.43
.64
16
1897
2902
21.4
537
3.95
-
-
103
58
85
87
-
-
-
.79
.08
106
20.6
375
97
.72
30
.43
73
.54
-
11
-
1898
2776
2.79
-
.22
58
-
-
-
120
.90
92
.69
23
.17
.97
43
.32
2
.01
31
.23
-
1899
3204
440
3.31
-
-
129
-
24.1
.28
117
.89
.11
.67
-
37
-
1900
3062
23.2
437
3.32
-
87
.66
14
88
94
.71
-
-
-
.27
.16
133
1.0
.42
-
-
22
5
.03
2719
20.8
387
2.96
14
.10
76
.58
45
.34
36
56
1901
.49
.09
88
.68
1.19
.14
.22
64
-
-
12
-
21.2
396
.24
154
18
29
-
1902
3.06
31
2756
.32
103
.80
.14
41
4
.03
11
.09
-
251
1.96
-
50
.39
25
.19
18
-
1903
2382
18.4
-
422
3.16
.03
106
31
71
.7
.00
20
.5
0.00
.53
.86
Average
for years
1894-1903.
2850
21.3
4.7
.79
.23
71
.53
.15
116
1.46
3.46
.13
.02
189
2593
447
-
-
16
3
20.1
136
17
.13
1904
-
1.05
18
.14
68
-
.53
-
.00
74556
286
.06
6
4751
London
1904
9907
365
723
-
1.02
16.0
2.13
25
2256
.48
.08
.15
.00
1495
.32
Taking the figures for small-pox, scarlet fever, diphtheria, enteric fever, and simple
continued fever, they amount to 54 deaths in 1904 compared with 58 in 1903. These are
diseases which are much more under control than any other. The increase is solely to be
found in measles, whooping cough, and diarrhœa, the number of deaths for these being 393 in
1904 and 194 in 1903 The subject of the control of these will be discussed under the head
of Notification of Infectious Disease.
Small-pox.
There were no deaths from this disease in Bermondsey in 1904.
Measles.
There were 136 deaths due to this disease, which is 30 above the average for the last 10
years, and 86 above the number in 1903.
The deaths occurred in quarters as follow:-viz., 22, 68, 15 and 31. In contrast to 1903,
in which the majority of the deaths occurred in the first quarter, the largest number occurred in
the second quarter.
Whooping Cough.
68 deaths were attributed to this cause against 41 in 1903; of these 35 occurred in the
first quarter, and 21, 4 and 8 in the other quarters respectively.
Typhus Fever
There were no deaths from this cause in 1904.
Enteric Fever.
16 deaths were due to this cause, viz., 8 in Bermondsey and 8 in Rotherhithe. This is 5
more than occurred in 1903.
Simple Continued Fever.
3 deaths were attributed to this cause. This heading is kept in the notification form
and death returns, so that the possibility of overlooking enteric fever may be obviated and
preventive measures not be neglected.
Diarrhœa.
Under this head are included: —
Epidemic enteritis.
Zymotic „
Epidemic or summer diarrhœa.
Dysentery or dysenteric diarrhœa.
Choleraic diarrhœa, cholera, and cholera nostras (in absence of Asiatic cholera).
189 deaths were due to this cause in 1904, 122 for Bermondsey, 49 for Rotherhithe, and
18 for St Olave's. This is a very high figure, the highest in fact during the past eleven years.
There were 188 deaths in 1897, which is the nearest approach to this. Taken in age periods the
deaths under one year were 148, between one and five 35, and over five b. It is thus evident
that it is practically confined to infants and those of tender years. As mentioned in previous
reports it is a disease due to contamination of food, more especially milk, by a special microbe or
microbes (because the special cause in each case may not be exactly identical, but undoubtedly
all belong to similar species), and the view is finding general acceptance that it is contagious in
the same sense as typhoid fever, cholera and other diseases connected with the intestines, i.e.,
that if a case occurs in a family that the infection of the excreta gets on to the hands of those
attending the patient, soils various articles in the house, possibly gets dried and thrown about

Table G.

Year.All Causes.Principal Zymotic Liseases.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.
1894276620.14493.271.001391.0142.31100.7371.521.0018.13––77.56
1895296621.64112.991.00136.9924.1764.4637.27––22.16––127.92
1896296821.65423.95––129.9435.25108.791461.06––24.17––100.73
1897290221.45373.95––103.7658.4385.6287.64––16.12––1881.38
1898277620.63752.79––97.7230.2258.4373.54––11.08––106.79
1899320424.14403.31––92.6923.17129.9743.322.0131.23––120.90
1900306223.24373.32––87.6614.1188.6794.71––37.28––117.89
1901271920.83872.9614.1076.5845.3436.2756.42––22.165.031331.0
1902275621.23963.0631.241541.1918.1429.2264.49––12.09––88.68
1903238218.42511.96––50.3925.1918.1441.324.0311.09––103.80
Average for years 1894-1903.285021.34223.164.7.03106.7931.2371.5371.7.53.0020.15.50.00116.86
1904259320.14473.46––1361.0518.1417.1368.53––16.133.021891.46
London 19047455616.099072.1325.002256.48365.08723.151495.32––286.066.0047511.02