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

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Kensington 1900

[Report of the Medical Officer of Health for Kensington Borough]

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Class VI.— Local Diseases.
The Diseases in this Class, which comprises eleven Orders, named after the systems or organs
to which the diseases relate, were accountable for 1,338 deaths (as compared with 1,616 in 1899), or
49.6 per cent. of the deaths from all causes: 1,055 were registered in the Town sub-district, and
283 in Brompton; 313 were of children under five years of age. The deaths from the diseases
comprised in the several Orders were as follows:—
1. Nervous System.— Diseases of the nervous system were the registered causes of 257
deaths (as compared with 265, 241, and 291 in the three preceding years respectively), viz., 197 in
the Town sub-district, and 60 in Brompton: 62 of the deaths were of children under five years of
age, and 157 occurred at ages over forty-five. The fatal diseases were, Inflammation of the Brain or
Membranes, 24 deaths; Apoplexy, Softening of the Brain, Hemiplegia, Brain Paralysis, 117 deaths
(82 in the Town sub-district, 35 in Brompton); Insanity, General Paralysis of the Insane, 14 (twelve
of them in the Town sub-district) : Epilepsy, 9 ; Convulsions, 40 (all under five, and 39 under one
year); Laryngismus Stridulus, 2; Disease of the Spinal Cord, Paraplegia, Paralysis Agitans, 7;
Other Diseases of Nervous System, 44.
3. Circulatory System.— The deaths due to diseases of the organs of circulation, heart and
blood vessels, were 227, as compared with 210, 200, and 256 in the three preceding years respectively:
156 were registered in the Town sub-district, and 71 in Brompton. Heart diseases proper caused
202 deaths. To specified forms of disease, 62 deaths were ascribed, viz., Pericarditis, 2; Acute
Endocarditis, 5 ; Valvular Diseases of the Heart, 55. Other Diseases of the Heart caused 140 deaths.
Aneurism was the cause of 7 deaths, and Embolism, Thrombosis, of 11. Other Diseases of Blood
Vessels caused 7 deaths.
4. Respiratory system.— The deaths from the diseases of the respiratory organs, Phthisis
being excluded, were 542 (as compared with 491, 572, and 672 in the three preceding years
respectively), and 20.l per cent. of total deaths. Of these deaths 454 were registered in the Town
sub-district, and 88 in Brompton. The deaths under five years of age were 171, or 31.5 per cent.,
as compared with 38.7, 38.3, and 27.2 per cent. in the three preceding years; and at fifty-five and
upwards, 260, or 47.9 per cent., against 36.9, 40.7, and 47.5 per cent. in the three preceding years.
Bronchitis was the cause of 370 deaths, Pneumonia, of 115. These diseases, therefore, were
accountable for 485 deaths (including 167 under five years of age), of which 77 were registered
in Brompton.
5. Digestive System.— The diseases of the various organs concerned in digestion were the
causes of 182 deaths; 74 of them under five years of age; 149 in the Town sub-district, and 33 in
Brompton. Dentition was the cause of 21 deaths under five, 19 of them under one year. Diseases
of the Stomach caused 27 deaths; Enteritis, 30; Gastro-enteritis, 21; Obstructive Diseases of
Intestine, 18; Peritonitis, 10. Cirrhosis of Liver caused 25 deaths; Jaundice and other Diseases
of Liver, 19 (including three under one year); and Other Diseases of Digestive System, 11 deaths.
8. Diseases of Urinary Organs.— Of the 82 deaths ascribed to these causes, 60 were
registered in the Town sub-district, and 22 in Brompton. The fatal diseases were Nephritis, 18
deaths; Bright's Disease (Albuminuria), 34; Diseases of Bladder or of Prostate, 10; and Other
Diseases of Urinary System, 20 deaths.
Class VII.—Deaths from Violence.
One hundred and six deaths, including 43 under five years of age, and 37 under one year,
are distributed over two of the four Orders comprised in this Class: 17 of them belong to the
Brompton sub-district.
1. Accident or Negligence.—Total deaths, 88, including 12 in Brompton, and 43 under five
years of age ; viz., from Fractures and Contusions, 40; Burn, Scald, 11; Drowning, 1; Suffocation,
mostly of infants overlaid, 32; Otherwise, 4. Thirty-seven of these "accidents" occurred to
children of less than one year old. Thirty-one of the deaths from suffocation were registered in
the Town sub-district.
3. Suicide.— Total deaths, 16; including 4 in Brompton, viz., by Gun-shot Wounds, 5;
Poison, 3; Drowning, 4; Hanging, 1; Otherwise, 3.
Class VIII.— Deaths from Ill-Defined and not Specified Causes.
This Class includes the causes of 103 deaths, 86 under five years of age, and 81 under one
year; 89 and 14 in the Town and Brompton sub-districts respectively. The causes named were :
Dropsy, 2; Debility, Atrophy, Inanition, 84 deaths (all under five years of age, and 80 under one
year); Mortification, 12; Tumour, 1; and Abscess, 1. To Causes not Specified or Ill-defined, 3
deaths were ascribed.