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

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Hanover Square 1891

[Report of the Medical Officer of Health for Hanover Square, The Vestry of the Parish of Saint George]

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16
average number of the previous 10 years, were registered
in the Parish during 1890; 4 of these, however, were
deaths of Non-Parishioners.
Scarlet Fever: only one death from this disease was
registered in the Parish during the year, and that was one
of a Non-Parishioner. There were, however, 2 deaths of
our Parishioners from this disease in Public Institutions
outside the Parish.
Diphtheria: 29 deaths were registered in the parish from
this disease, being 7 less than in 1889, and only a little
above the annual average for the previous 10 years.
Among the 29 deaths registered in the Parish, there were
however, no less than 20 deaths of Non-Parishioners,
leaving only 9 deaths of Parishioners from this disease.
On the other hand there were 3 deaths from Diphtheria of
Parishioners in Public Institutions outside the Parish. One
death was also registered as from "Membranous Croup,"
and another from "Ulceration of throat, Diphtheroid."
I must remark that Diphtheria is still exceedingly prevalent
in London, and seems to be taking a hold of London and
some of our great towns, as mentioned in my last two
reports, for reasons that have not yet been explained.
Thus in the 28 largest English towns, including London,
the diphtheria death-rate in 1890, was one third as high
again as the death-rate for the previous 10 years, including
of course the year 1889, when the rate was no less than
half as high again as the rate for the previous 10 years.
In Norwich it was twice as high, in Sheffield more than
twice, in Newcastle 2½ times, in Manchester more than 2½
times, in Derby nearly 4 times, in Blackburn 4 times, and in
Salford more than 4½ times, as high as in the previous 10
years. The increase was not so great in London, where it