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

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Chelsea 1913

Annual report for 1913 of the Medical Officer of Health

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7
Influenza.—The number of deaths attributed to influenza in 1913
was 12. as against 13 in 1912, and 11 in 1911. Four deaths occurred in
North Chelsea, and 8 in South Chelsea. In London generally, the disease
was far more prevalent than in 1912, 840 deaths being registered as due
to this cause in 1913, as compared with 535 in 1912. Of the 840 fatal
cases in London, 401 occurred during the first quarter of the year, 247 in
the second, 44 in the third, and 148 in the fourth quarter. March was
the month of greatest prevalence and mortality.
Besjriratory Diseases.—The death-rate from these diseases in Chelsea
in 1913 was 2.65 per 1,000, as compared with 2.9 per 1,000 in 1912. The
London death-rate from respiratory diseases in 1913 was 2.7 per 1,000.
Tuberculor Diseases.—The death-rate from phthisis and other tubercular
diseases in Chelsea in 1913 was 1.46 per 1,000, as against 1.63 per
1,000 in 1912. The death-rate in London from these diseases in 1913
was 1.60 per 1,000.
Of the 78 deaths from phthisis in Chelsea in 1913, 32, or 41.0 per
cent., occurred in the Chelsea Workhouse Infirmary, and 17, or 21.8 per
cent., occurred in other public institutions, making a total of 62.8 per cent,
of the total 78 fatal cases dying in public institutions away from their
own homes. In 1911, 73.7 per cent, of the fatal cases died in public
institutions, and in 1912, 72.7 per cent., so that there was a considerable
fall in the percentage last year. Whether this decline is due to the
domiciliary treatment of insured persons suffering from phthisis under the
sanatorium benefit provisions of the National Insurance Act, will be more
apparent after the lapse of another two or three years. The decrease in
1913 was due to fewer deaths occurring in the Chelsea Infirmary.
Of the 78 deaths from phthisis in Chelsea in 1913, 55 were deaths of
males, and 23 of females. Other tubercular diseases caused 8 deaths in
males, and 10 in females. The death-rate of males from all tubercular
diseases in Chelsea in 1913 was 2.25 per 1,000, the corresponding rate for
females being only 0.87 per 1,000. In 1912, the male rate was 2.5 per
1,000, and the female 0.9 per 1,000, so that there was a satisfactory
decline last year in the high male death-rate of previous years.
Diseases of the Heart.—These diseases caused 99 deaths in Chelsea in
1913 The average number of annual deaths from heart disease during
the period 1901-12 was 122.
Cancer.—Malignant cancerous diseases caused 85 deaths in Chelsea
in 1913. Forty of the fatal cases were North Chelsea residents, and 45
were South Chelsea.

Table VII.—Cancer Mortality in Quinquennia.

Average Annual Number of Deaths.Average Annual Death-rate.
1891-5660•87 per 1,000
1896-1900741•00 „ „
1901-5781•08 „ „
1906-10791•16 „ „
1911-12961•44 „ „
1913851•28 „ „