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

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Lambeth 1914

[Report of the Medical Officer of Health for Lambeth, Metropolitan Borough of]

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34
CLASS I.—ZYMOTIC DISEASES.
Principal Zymotic Diseases.
The principal zymotic diseases are seven in number, viz.,
smallpox, measles, scarlet fever, diphtheria (including membranous
croup), whooping cough, "fever" (including typhus, typhoid or
enteric, and simple, or relapsing, or continued), and diarrhcea; and
the zymotic death.rate is made up from the total deaths from these
diseases.
In the Borough, during 1914, there were registered 444 deaths
from the seven zymotic diseases, and of these 136 are strangers
belonging to other districts, and 308 parishioners who died within
the Borough. 67 parishioners, however, died from the seven
principal zymotic diseases outside the Borough. Subtracting the
strangers, and adding on the parishioners who died without the
Borough, there is a corrected total of 375, giving a zymotic corrected
death.rate of 1.3per 1,000 inhabitants. The yearly averages of the
numbers of deaths (corrected) from the 7 principal zymotic diseases
for the two decennia 1891-1900 (Parish), and 1901.1910 (Borough),
are respectively 679.6 and 475.1.
As a test of the sanitary condition of a community, the zymotic
death-rate is of approximate value, and in this respect Lambeth
Borough stands well.
The zymotic death.rates (corrected) for the different Registration
Sub.Districts vary as shown in Tables D (1) and H (1), which,
in addition, give the general death.rates. Lambeth Church and
Kennington show the highest, and Brixton the lowest zymotic
death.rates respectively. The corrected zymotic death.rate for the
Inner Districts is 1.8, and for the Outer 0.9—a difference explainable,
as before, by the crowding and absence of proper means of home
isolation and nursing in the former, as compared with the latter
districts. Crowded districts naturally suffer more in this respect
than those more sparsely populated.
Similar conclusions are obtainable by comparing the zymotic
death.rates (corrected) for the different new Wards, as shewn in
Tables D (2) and H (2), from which it is seen that of the 9 Wards into
which the Borough is divided, Prince's shows the highest and Stock.
well and Heme Hill the lowest, zymotic death.rates.
During the year 1914, under the Notification Clauses of the
Public Health (London) Act, 1891, 4,066 cases of Infectious Diseases
were reported, including the newly.notifiable cerebro-spinal fever 5,
polio-myelitis acuta 10, ophthalmia neonatorum 57, and whooping