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

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City of Westminster 1914

[Report of the Medical Officer of Health for Westminster, City of]

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40
constable, one a member of a volunteer aid corps and another is
engaged on coast defence work. Eleven "suspects" enlisted and are
doing well.
Among the notified cases were four soldiers who had enlisted in
other parts of the country but had to be sent to the military hospital.
There was also one German prisoner.

Diarrhœa.—111 Westminster, the total deaths were 35, 29 being under 2 years of age. Comparison with former years is made below:—

Westminster.1905.1906.1907.1908.1909.
Epidemic diarrhœa4775272410
Other forms of enteritis1720192323
Total deaths6495464733
Number under 1 year of age4271273327
Number of births3,1202,9312,9272,9132,751
Deaths of infants per 1,000 births13.424.29.211.49.2
Westminster.1910.1911.1912.1913.1914.
Epidemic diarrhœa94792011
Other forms of enteritis3247282921
Total deaths4174374935
Number under 1 year of age2649273324
Number of births2,5922 3612,3492,2332,157
Deaths of infants per 1,000 births10.020.711.414.711.1
Number of deaths under 2 years of age304029

Enquiry made with regard to these deaths, shows that there were
4 illegitimate children, 7 had been delicate from birth, 3 being premature.
Two infants had been entirely breast-fed, and 4 had been suckled at
first for a week or two. In 3 instances the mothers were out at work
during the day, consequently the children did not receive necessary
care and the children were nursed out or by neighbours; 4 mothers were
seriously ill, 1 mother drank. Twelve of the children were born in other
districts and had not been visited ; with regard to two, visits had been
refused by the parents.
Cold and dampness, improper feeding, want of proper care, defective
power of digestion, syphilis and tuberculosis account for many of the
cases in which diarrhoea was merely one of the accompaniments of the
illness.
Seven adult persons living in four houses in Lillington Street were
reported to be suffering from a severe form of diarrhoea in September