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

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Lambeth 1898

Report on the vital and sanitary statistics of the Parish of Lambeth during the year 1898

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1302, i.e., 55.9% were removed to the Hospitals of the
Asylums Board, or to other Hospitals, and 1027 i.e., 441%
remained under treatment at their own homes. These
percentages are more satisfactory than during the last seven
years, i.e., since the introduction of the Notification Act
and the tabulation of cases removed to Hospital. In 1891,
86.6% of the total zymotic cases notified were removed; in
1892,337%; in 1893, 23%; in 1894, 33.9%; in 1895,30 4%;
in 1896, 43%; in 1897, 49%; whilst in 1898, the Inumbers
removed form 55 9% of the total cases. During 1898, 21%
puerperal fever, 4.4% erysipelas, 66% scarlet fever, 49.7%
typhoid, 65.8% diphtheria, 7 7% continued fever, and 18.8%
membranous croup, were removed to Hospital respectively.
Table L gives the averages of Notification Certificates
received in Lambeth since 1889, and it will be seen that
during 1898 the total number is practically the average—
the greatest number of Notifications being received in
1893—though the incidence per 1000 of the population
during 1897 is only .1 above the average incidence for the
eight years 1890-97 (i.e., since the introduction of the
Compulsory Notification Act).
The seven cholera cases were probably cholera nostras
(English cholera), or infantile diarrhoea.
The diphtheria increase is a serious one—a total of 813
notifications being received during the year 1898, i.e., 47.3%
above the average for the last seven years. The 813 cases
occured in 724 infected houses, and in only 16.3% of these
were the drains, on testing, found defective. For fuller
details as to this increase in diphtheria, vide pp. 54—57.
The enteric fever (or typhoid) notifications were below
the average, and represent only 159 infected houses, of
which 25.8% of the drains were shewn, on testing, to be
defective. The notifications received during 1898 were
163, as compared with 185 during 1897. This decrease in
the amount of typhoid in Lambeth is satisfactory.