Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Annual report for 1914 of the Medical Officer of Health
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average temperatures of the summer quarters of these 4 years are as follows:
1911, 65°.8F.; 1912, 58°.9F.; 1913, 60°.2F.; and 1914, 63°.2F.; Considering
that the average temperature of the summer quarter of 1914 was
3°F. above that of 1913, it is a very satisfactory feature that the diarrhoea
mortality of the summer quarter of 1914 was actually two less than in 1913.
In London, summer diarrhoea mortality commenced to rise early in August,
and reached its maximum by the middle of September.
Influenza.—The number of deaths attributed to Influenza in 1914 was
13, as against 12 in 1913. Eight deaths occurred in North Chelsea, and 5
in South Chelsea. In London generally, the disease was less prevalent than
in 1913, 624 deaths being registered as due to this cause in 1914, as compared
with 840 in 1913. Of the 624 fatal cases in London, 273 occurred in
the first quarter of the year, 154 in the second, 54 in the third, and 143 in
the fourth quarter.
Respiratory Diseases.—The death-rate from these diseases in Chelsea
in 1914 was 2.67 per 1,000, as compared with 2.65 per 1,000 in 1913. The
London death-rate from respiratory diseases in 1914 was the same as in
Chelsea, namely 2.67 per 1,000.
Tubercular Diseases.—The death-rate from phthisis and other tubercular
diseases in Chelsea in 1914 was 1.49 per 1,000, as against 1.46 per 1,000
in 1913. The death-rate in London from these diseases in 1914 was 1.75
per 1,000.
Of the 84 deaths from Phthisis in Chelsea in 1914, 40, or 47.6 per cent.,
occurred in the Chelsea Workhouse Infirmary, and 13, or 15.5 per cent.,
occurred in other public institutions, making a total of 63.1 per cent. of the
total 84 fatal cases dying in public institutions away from their own homes.
In 1913, 62.8 per cent. of the fatal cases died in public institutions, whilst
in 1912, 72.7, and in 1911, 73.7 per cent. died in institutions. There is some
reason to believe that the decline in the past two years from the figures of
1911 and 1912 may be due to the domiciliary treatment of insured persons
suffering from phthisis, under the sanatorium benefit provisions of the
National Insurance Act, which began to operate fully in 1913.
Of the 84 deaths from phthisis in Chelsea in 1914, 57 were deaths of
males, and 27 of females. Other tubercular diseases caused 8 deaths in
males, and 8 in females. The death-rate of males from all tubercular
diseases in Chelsea in 1914 was 2.24 per 1,000, the corresponding rate for
females being 0.91 per 1,000. These are very nearly identical with the rates
for 1913. The average rates for the 5 years, 1906-10 in Chelsea, were 2.10
per 1,000 for males, and 1.02 per 1,000 for females.
Diseases of the Heart.—These diseases caused 112 deaths in Chelsea
in 1914. The average number of deaths annually from heart disease during
the period 1901.13 was 120.
Cancer.—Malignant cancerous diseases caused 96 deaths in Chelsea
in 1914. Fifty-four of the fatal cases were North Chelsea residents, and
42 were South Chelsea.