View report page

tuberculosis.
19
Other Forms of Tuberculosis.
Annual Averages.
Males. Females. Males. Females.
1901-05 28 31 1911-15 23 17
1906-10 26 23 1916-20 18 18
Males. Females.
1921-23 13 16
Comparing the averages for 1921-23 with the maxima—males, 28 (1901-05); females, 31 (1901-05)
—the former show falls of 54 and 48 per cent. respectively.
The deaths from tuberculosis allocated to the Wards are shown in Table 6. Below is a comparison
of the deaths recorded last year with the annual averages for 1918-22. The returns last year from
Westbourne and Church Wards are eminently satisfactory as regards pulmonary tuberculosis.
Tuberculosis.
Queen's
Park.
Harrow
Road.
Maida
Vale.
Westbourne.
Church.
Lancaster
West.
Gate.
East.
Hyde
Park.
PULMO NARY.
M.
F.
M.
F.
M.
F.
M.
F.
M.
F.
M.
F.
M.
F.
M.
F.
1918-22
9
6
12
9
7
9
11
13
16
10
2
2
1
1
3
3
1923
9
5
16
12
6
9
9
8
6
6
3
1
1
1
3
2
Other Forms.
1918-22
3
2
3
5
2
3
2
3
3
3
0
0
1
0
1
0
1923
1
-
7
2
-
2
1
7
4
3
-
-
-
1
1
1
" 0 " = average less than 1. " — " = nil.
The consideration of the changes in the sex-age distribution of deaths from this disease and of
the changes in the numbers recorded in the Wards since 1901 must be reserved for another occasion.
It must suffice to say that the average numbers for 1921-23 show notable reductions in comparison
with the averages (quinquennial) for the preceding twenty years.
The occupations of the deceased persons—as recorded on registration of death—are shown in
Table 10.
Mortality Rates.—The rates from all forms of the disease for last year were: Persons, 0.87;
males, 1.06; females, 0.69. These rates compare favourably with the mean rates for 1910-12.
Persons, 1.27; males, 1.71; females, 0.95—and with those for 1920-22—Persons, 0.96; males, 1.24;
females, 0.75. The rates for 1923 from pulmonary tuberculosis were: Persons, 0.66; males, 0.86;
females, 0.51; those for 1910-12: Persons 0.95; males 1.30, females 0.69—and those for 1920-22:
Persons 0.76, males 1.03, females 0.57. From all other forms of the disease the rates were: in 1923,
persons 0.20, males O.22, females O.18—in 1910-12: persons O.32, males O.41, females O.25—1920-22:
persons 0.19, males 0.21, females 0.18.
Deaths in Institutions.—Of the 127 deaths from all forms of tuberculosis 70 took place in institutions,
44 in Poor Law infirmaries, 15 in hospitals, 7 in hospitals of the M.A.B. and 4 in lunatic asylums.
Analysis of the data shows that 55.1 per cent. of these deaths took place in institutions as compared
with 58.7 in 1922. Of the deaths due to pulmonary tuberculosis 53.8 per cent. were institutional
(54.7 in 1922), and of the deaths due to other forms, 60 (76.9 in 1922). The deaths in Poor Law
institutions formed 34.6 per cent. of all deaths due to tuberculosis, 36.0 of those due to pulmonary
and 30 of those due to other forms. Records of the deaths in the different classes of institutions
have been kept since 1914. In that year 27.9 per cent. of all deaths due to tuberculosis took place in
Poor Law institutions, 28.4 of those due to pulmonary and 25.7 of those due to other forms of the
disease. In 1914, 6.9 per cent. of all deaths from tuberculosis took place in lunatic asylums, the
proportion observed last year being 3.1 (6.2 in 1922).
During the year the Department had knowledge of 105 deaths from pulmonary tuberculosis, 8 of
the deaths belonging to other districts. That total included the 4 deaths in lunatic asylums, which
together with 3 others of which the Department had incomplete information only, can for the present
purpose be ignored. Of the remaining 90, 16 received, so far as could be ascertained, no institutional
treatment. Of the 74 persons concerning whom the records were believed to be complete, 46 entered
institutions on one occasion only, 15 on 2 occasions, 8 on 3, 4 on 4 and 1 on 6. The average duration
of treatment for the 74 persons was 5¼ months.
Duration of the Disease.—With respect to 86 of the 105 fatal cases of pulmonary tuberculosis
known to the Department, it was possible to fix the approximate duration of the disease. In 25