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

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St Pancras 1865

[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]

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7
Erysipelas and Puerperal Fever were fatal in 61 cases.
To every 100,000 persons, the death-rates from the undermentioned diseases,
in St. Paneras and London respectively, were:—
St. Paneras. London.
Pulmonary affections (including Phthisis) 717 604
Diarrhoea, Dysentery, Cholera 129 103
Typhus and Typhoid Fevers (including deaths
in Fever Hospital) 73 108
The estimated population of St. Paneras bore to that of London in 1865, the
proportion of 1 to 13.76; there were from Small Pox, in London, 646, which
gives as the quota for St. Paneras, 47, instead of 36, the actual number; from
Measles in London, 1302, which gives as the quota for St. Paneras, 94, instead
of 108; from Scarlatina in London, 2181 deaths, which gives as the quota for
St. Paneras, 158, instead of 133; from Diphtheria in London, 433, which gives
as the share for St. Paneras, 31.5, instead of 35; from Hooping Cough in
London, 2921, which gives as the share of St. Paneras, 212, instead of 225.
It thus appears that the following diseases were proportionally more fatal
in St. Paneras than in the rest of London: Pulmonary diseases generally,
Diarrhoea, and allied diseases; Diphtheria, and Hooping Cough. Whilst the
following were less fatal in St. Paneras than in the rest of London: Typhus
and Typhoid Fevers, Small Pox, Measles, and Scarlatina.
There were more deaths from Diarrhoea, Dysentery, and English Cholera,
last year, than in any year since the last Cholera epidemic, in 1854. The
numbers in 1854 were Cholera, 248, and Diarrhœa, 164; in 1855, from Diarrhoea,
120; in 1856, 141; in 1857, from Cholera, Dysentery, and Diarrhoea, 173; in
1858 only 65; in 1859, 116; in 1860,101; in 1861, 161; in 1862, 103;
in 1863, 153; in 1864, 189; and in 1865, 282 deaths.
This high mortality from Diarrhoea and allied diseases, together with the
presence of Cholera on the shores of the Mediterranean, and, towards the end of
the summer in Paris and at Southampton and Epping, made us apprehensivo
that Cholera was likely again to visit our Metropolis. The disease is still
prevalent in many parts of the Continent; there have been a few cases at
Swansea, Bristol, and a serious outbreak of it amongst the German emigrants
in Liverpool. It has not at present manifested itself in a distinct form in
London, but it is impossible not to look forward with some anxiety to the next
two or three months. We have had quite enough warning to call for great
activity in all sanitary precautions; while there is also ground for hope that we
may escape a severe outbreak of this dire malady.
PAUPER SICKNESS.
During the year 1865, there were 16,418 orders issued by the Directors of
the Poor, for out-door medical relief. This was nearly 10 per cent, more than
in 1864.
The cases were distributed amongst the several districts as follows:—
( Mr Knaggs 2453
I Mr. Barley 1389
North
North-West Mr. Claremont 2944
Central Mr. Sutherin 3464
East District Dr. Thompson 3517
South District Dr. Saul 2651