London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Islington 1866
[Report of the Medical Officer of Health for Islington, Parish of St Mary]
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| Week ending. | Attacks. | Of which Died. | |||||
|---|---|---|---|---|---|---|---|
| Cholera. | Choleraic Diarrhoea. | Total. | Cholera. | Choleraic Diarrhoea. | Total. | Cases of Diarrhoea recorded. | |
| July 28 th | 11 | i | 12 | 10 | 1 | 11 | 379 in all July. |
| August 4th | 25 | 40 | 65 | 17 | 5 | 22 | 203 |
| „ 11th | 9 | 33 | 42 | 4 | 0 | 4 | 467 |
| „ 18th | 5 | 27 | 32 | 3 | 0 | 3 | 552 |
| „ 25th | 4 | 33 | 37 | 0 | 0 | 0 | 443 |
| September 1st | 4 | 21 | 25 | 2 | 0 | 2 | 452 |
| „ 8th | 5 | 10 | 4 | 0 | 4 | 401 | |
| „ 16th | 8 | 16 | 4 | 0 | 4 | 363 | |
| „ 22nd | 6 | 13 | 19 | 3 | 2 | 5 | 229 |
| „ 29th | 10 | 6 | 16 | 7 | 0 | 7 | 197 |
| October 6th | 9 | 21 | 30 | 4 | 0 | 4 | 133 |
| „ 13th | 5 | 16 | 21 | 3 | 1 | 4 | 109 |
| „ 20th | 2 | 4 | 6 | 2 | 0 | 2 | 63 |
| „ 27th | 2 | 3 | 5 | 0 | 0 | 0 | 48 |
| November 3rd | 3 | 0 | 3 | 1 | 0 | 1 | 125 |
| „ 10th | 1 | 0 | 1 | 1 | 0 | 1 | |
| „ 17th | 0 | 0 | 0 | 0 | 0 | 0 | |
| „ 24th | 0 | 0 | 0 | 0 | 0 | 0 | |
| December 1st | 1 | 0 | 1 | 1 | 0 | 1 | |
| 110 | 231 | 341 | 66 | 9 | 75 | ||
Fatality of attacks designated " Cholera " 60 per cent.
„ „ "Choleraic Diarrhoea" 3.8 „
„ all attacks together 21.9 „
There were, then, between the 23rd of July and the 27th of November, 110 cases
of cholera, with a fatality of 60 per cent.; and 231 cases of the milder form of choleraic
seizure, with a fatality of nearly 4 per cent.; and the disease swept over our
parish as it were in two waves, the first the highest and most overwhelming, the
second lower. The first began to rise in the week ending July 28th, rapidly attained
its climax in the following week, ending August 4th, and declining, attained its
lowest elevation five weeks later, namely, in that ending September 8th. This wave
overwhelmed 46 persons, of whom 33 were destroyed in the course of the rise during
the first two weeks, and 13 in the fall of the wave during the following five weeks.
Altogether in the course of these first seven weeks we recorded 223 seizures of a choleraic
character, of which 63, or 28 per cent., were cases of complete fully-developed
cholera. The second wave began to rise in the week ending September 15th, attained
its maximum in the fourth week, that ending October 6th, and gradually declined
from this during five weeks. This wave overwhelmed 28 persons, of whom 20 were