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

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Greenwich 1918

The annual report made to the Council of the Metropolitan Borough of Greenwich for the year 1918

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19
These may roughly be divided into those from causes which
would appear to be unavoidable, viz.:—Congenital defects, 4, and
those from causes more or less preventable, viz.:—Premature birth
31; Injury at birth, 1; Debility at birth, 4; Atrophy, Debility and
Marasmus, 19; Atelectasis, 3; Dentition, 3; and Rickets, 10.
The remaining and largest portion of these deaths from
developmental diseases, 113 in number, 'were from Old Age; in
1917 there were 137 deaths from this cause, and 109 in the previous
year.
Local Diseases. Nervous System. One hundred and twentynine
deaths were attributed to the various nervous diseases, which
gives a rate of -32 per 1,000; last year the rate was 1.50 per 1,000.
Convulsions were responsible for 19, 16 being under live years of
age; 6 were from Meningitis, 62 from Apoplexy, 3 from Softening
of the Brain, 2 from Hemiplegia or Brain Paralysis, 7 from
General Paralysis of the Insane, 3 from other forms of Insanity, 8
from Cerebral Tumour, 4 from Epilepsy, 1 from Encephalitis,
3 from Locomotor Ataxy, 4 from Paraplegia, and 7 from other
diseases of this system.
Organs of Special Sense. There were 3 deaths from this
class of causes, equal to a rate of 0.03 per 1,000.
Circulatory System. The Death Rate from diseases of this
system was 1.52 per 1,000, there being a total of 137 such deaths.
Valvular Diseases of the heart were responsible for 89, 1 from
Hypertnophy of the Heart, 8 from Aneurism, 3 from Embolism,
and from the remaining diseases of this system, 36.
Respiratory System. Three hundred and twenty-seven deaths
were due to diseases of the respiratory organs, as compared with
249 in the preceding year. The Death Rate under this heading
equals 3.64 per 1,000. Sixty were from Acute and 65 from Chronic
Bronchitis; 195 from the various forms of Pneumonia, 67 being
under five years of age, 3 to Emphysema, and 4 to other diseases.
Digestive System. There were 70 deaths from diseases of
this system, equal to ,a rate of .78 per 1,000; (of this number
Enteritis was responsible for 17, 12 being under five years,of age);
6 were due to Ulcer of the Stomach and Duodenum, 6 to Appendicitis,
18 to obstruction, and 6 to other diseases of the Intestines,
6 to Cirrhosis, and 1 to other disease of the Liver', 6 to
Peritonitis, 3 to other diseases of Stomach, and 1 to other disease
of the Digestive System.
Lymphatic System. There were no deaths from diseases
affecting this system during the year.
Urinary System. Forty-eight deaths, equal to a rate of .53
per 1,000, occurred from diseases affecting this system. Twenty-