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261
Again, the effect of sex and age does not appear to differ in West
Ham from that shown to pertain in general epidemics. Tables VI.
and VII. show the distribution with respect to certain specified ages,
and the figures given below show the relative incidence of the disease
upon the two sexes :—
No. of persons attacked.
Males. Females.
Northern Division 229 245
Southern Division 200 256
429 501
In reviewing the whole facts, I am constrained to form the
opinion that the most potent special causes of the spread of the disease
in West Ham, as distinct from the general causes which are applicable
alike to all communities, are the want of hospital accommodation and
the too early return of convalescents into free association with their
friends, which I have previously noted. The Council has recognised
this fact for some years, and are now pressing forward the necessary
enlargement of the hospital. Until this be completed there can be
little hope of effectually reducing the heavj- mortality from diphtheria
which West Ham has lately sustained.
I am, Gentlemen,
Your obedient Servant,
CHARLES SANDERS,
Medical Officer of Health.
Town Hall,
West Ham,
December, 1899.