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

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Camberwell 1923

[Report of the Medical Officer of Health for Camberwell.

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48 from other forms of the disease. 73 cases were not
notified as suffering from tuberculosis during life.
Non-notified fatal cases. 1923.
All forms of Tuberculosis. Proportion of non-notified fatal
cases in 1923 to total number of deaths. 24 per cent,
Pulmonary Tuberculosis. Proportion of non-notified fatal
cases in 1923 to total pulmonary deaths. 16 per cent.
Non-pulmonary Tuberculosis. Proportion of non-notified
fatal cases in 1923 to total non-pulmonary deaths. 64 per cent.
Proportion of non-notified cases who died in Institutions to
total of non-notified fatal cases. 74 per cent.
Proportion of non-notified cases who died at home to total
of non-notified fatal cases. 26 per cent.
Of 26 deaths from tuberculous meningitis 19 (73 per
cent.) were not notified before death. Of these 16 (84 per
cent.) died in hospitals and 3 (16 per cent.) at home.
Death rate from tuberculosis (Camberwell, 1923) per
1,000 population (estimated): —
Pulmonary 0.94
Other Forms 0.18
Contrast this with the figures of a decade ago.
Death rate from tuberculosis (Camberwell, 1914) per
1,000 population (estimated): —
Pulmonary 1.44
Other Forms 0.34 1.78
Put in another way—without taking into consideration
the increase of population:—
1914.
1923.
Deaths from all Forms of Tuberculosis
468
305
Deaths from Pulmonary Tuberculosis
378
257
Deaths from Non-pulmonary Tuberculosis
90
48
The deaths among Camberwell clerks, working in
different parts of London, from tuberculosis, in 1923, was at
the high rate of 2 per 1,000 clerks living in this Borough.
Caution is needed, however, in interpreting these or any
figures that view tuberculosis mortality among clerks from an
occupational standpoint. It is well known that many parents
look upon the clerical profession as a sheltered one, and urge
or put the more delicate members of their family into it on
that account. In that way many latent cases of tuberculosis
may enter. Dr. Brownlee reported to the Medical Research
Committee as follows:—
" . . . after the age of 35 the mortalities from
phthisis among the persons included in the class of
commercial clerks and in the class of carmen, carrier,
etc., are practically identical, and also identical with

Put in another way—without taking into consideration the increase of population:—

1914.1923.
Deaths from all Forms of Tuberculosis468305
Deaths from Pulmonary Tuberculosis378257
Deaths from Non-pulmonary Tuberculosis9048