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

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Kensington 1904

The annual report on the health, sanitary condition of the Royal Borough of Kensington, etc., etc., for the year 1904

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23
DIPHTHERIA.
The cases notified as diphtheria and membranous croup (classified by the Registrar-General
as diphtheria) were 186, compared with 250, 184 and 160, in the three preceding years; 99 in
North Kensington, and 87 in South Kensington.
The deaths registered were 17 (a case-mortality of 91 per cent.), and 35 below the corrected
decennial average (52); 14 in the Town sub-district, and 3 in Brompton. Fifteen of the deaths
took place in hospitals, to which 158 cases were removed—a case-mortality of 9•5 per cent. Twelve
of the deaths were of children under five years of age, including one under one year. The rate of
mortality was 0•09 per 1,000 of the population.
Detailed information in regard to diphtheria mortality in the borough—1871-1904—is set
out in Appendix II., Tables B, C, and D pp. 118-119.
The deaths in London, as a whole, were 729, and considerably less than a moiety of the
corrected decennial average number (1,922), compared with 1,344, 1,181, and 752, in the three
preceding years. The rate of mortality was 0•16 per 1,000 of the population.
The notifications were 7,224 in number, compared with 12,154, 10,735, and 7,727, in the
three preceding years. The cases admitted to hospital were 4,739, compared with 9,090, 8,086, and
5,113, in the three preceding years ; and the deaths in hospital 471, a case-mortality of 9•9 per cent.
At the close of the year there were 807 cases under treatment in the hospitals, compared with
1,369, 927, and 739, at the corresponding period in the three preceding years.

The subjoined table, based on the thirteen four-weekly reports, set out certain particulars with regard to diphtheria, in Kensington, and in London as a whole:— Diphtheria in 1904.

Report for four weeks endedNo. of Notifications. Kensington. London.No. of cases admited to Hospital. Kensington. London.No. of Deaths. Kensington. London.No. of cases in Hospital at the end of the period.
January 301152810391260760
February 27145349436160787
March 2694758373170776
April 231749214381357719
May 212159615467263767
June 18154651437536696
July 161552312447139764
August 131654516474236780
September 101158810482156814
October 81365011556164892
November 52171420582157979
December 31459312470266892
December 319521740165807
1867,2241585,83517729

Note.—Correction has not been made in the above table for errors in diagnosis, either with respect to notifications or
admissions to hospitals. Cases of membranous croup are included.