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

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Wandsworth 1891

[Report of the Medical Officer of Health for Wandsworth District, The Board of Works (Clapham, Putney, Streatham, Tooting & Wandsworth)]

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124
Scarlet Fever. Only 1 death was attributed to Scarlet
Fever, as occuring in the Sub-district, and another case
terminated fatally in one of the hospitals of the Metropolitan
Asylums Board. 54 cases were notified. The type
of the disease was therefore of a mild character.
Enteric Fever. Only 3 cases were notified and 1 terminated
fatally.
Diphtheria. There were no fatal cases of this disease, but
12 cases were notified in the course of 12 months. In
my experience most of these cases were of a very mild
character.
This disease is again very prominent as
a cause of death among the Zymotic Class.
All the fatal cases were the result of complications occurring
in the course of the disease and no doubt preventable
in the majority of the cases. Whooping Cough
and Measles may be classed together, as being in themselves
mild diseases, but yet the cause of the greatest
number of deaths among the Zymotic Class of disease.
Whether this could be prevented by adding them to the
number of notifiable diseases under the Act is a subject
on which we have already made a special report.
There were 7 cases under the heading of Other Zymotic
diseases, which were due to the Influenza epidemic
and the complications attending it. The total Zymotic
death-rate including those deaths resulting from Influenza
was 1.1 per 1,000, which was exactly the same as in the
preceding year and slightly above the average.
Infantile Mortality.
The mortality under this heading has fallen
very much during the year. Only 47 deaths
occurred among children under 1 year of age, which gives
an infantile mortality of 98.3 instead of 154.