Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Annual report for 1921 of the Medical Officer of Health
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Number of examinations of sputum :—
Insured | 427 | |
Uninsured | 397 | |
824 | ||
Number of X-ray examinations of patients | 20 |
Cancer.
The number of deaths from Cancer in Chelsea in 1921 was 112,
which is the largest number on record.
The following Table gives the average annual number of deaths from all causes, Tuberculosis and Cancer, in six quinquennial periods :—
Period. | All causes. | Pulmonary. | Tuberculosis. Non-Pulmonary. | Total. | Cancer. |
---|---|---|---|---|---|
1891-5 | 1550 | 151 | 59 | 210 | 65 |
1896-1900 | 1407 | 144 | 40 | 184 | 73 |
1901-5 .. | 1207 | 120 | 30 | 150 | 78 |
1906-10.. | 1086 | 105 | 28 | 133 | 79 |
1911-15.. | 975 | 86 | 21 | 107 | 94 |
1916-20.. | 935 | 75 | 18 | 93 | 85 |
1921 .... | 862 | 58 | 12 | 70 | 112 |
In 1891-5, the deaths from Tuberculosis formed 13-5 per cent, of
the total deaths, and the deaths from Cancer 4-2 per cent. In 1916-20
the deaths from Tuberculosis formed 10 per cent, of the total deaths,
and the deaths from Cancer 9-1 per cent.
Deaths in Lunatic Asylums.
The average annual number of deaths of Chelsea residents in Mental
Hospitals and Lunatic Asylums in the 20 years, 1891-1910, was 34. In
the next 4 years, 1911-1914, the average annual number was 44. In the
4 years of the war, 1915-1918, the average annual number rose to 63,
fell to 42 in 1919, 23 in 1920, and 24 in 1921.
It would appear from these figures as if the higher mortality amongst
lunacy patients in asylums in the 4 years of the War was due, not so
much to an increase in lunacy, as to unfavourable conditions as regards
food, care and supervision in the asylums, which reacted unfavourably
upon the health and vitality of the patients.
Encephalitis Lethargica.
Four cases of this disease were notified in Chelsea in 1921, namely:
female, 14 years—this case proved subsequently not to be one of Encephalitis
Lethargica; female, 20 years—this case ended fatally; female,
31 years ; male, 39 years. All the cases were removed to hospital.
In London in 1921, 240 cases of this disease were notified, as against
134 in 1920, and 63 in 1919. There were cases in every Metropolitan