Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]
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154 deaths is in the proportion of 29.6 of every 1000 deaths
from all causes. If we take for the purpose of comparison of
the deaths in St. Pancras with those of the whole of London,
the Registrar-General's classification, we find a difference of
4 in every 1000 deaths from all causes in favour of St.
Pancras.
FEVER.
It is worthy of remark that no deaths occurred in St.
Pancras from Typhus Fever during 1879, and but four of our
parishioners died in the Fever Hospitals to which they had
been removed, whilst suffering from this disease.
57 died from Enteric or Typhoid Fever, and 102 cases
were reported to the Sanitary Department. This disease
caused an equal share of every 1000 deaths in St. Pancras,
as in the Metropolis as a whole.
Enteric Fever might, with a proper system of drainage and
drain ventilation, be almost entirely eliminated from our death
returns. The more carefully this disease is studied, the more
evidence is iound to exist that the poison of Enteric Fever
lies in the bowel discharge of persons suffering from it, and
that this discharge by poisoning the air of defective drains is
a common cause of disease.
A small outbreak of Enteric Fever occurred in a family
living in a large model lodging-house in St. Pancras. The
history of these cases is especially interesting, as showing
the manner in which Enteric Fever is communicated
On December 5th, 1878, the father of the family died after
a brief illness, and the cause of his death was registered as
Pneumonia. On January 11th, his son, who lived in another
part of the Parish, and who visited the father during his illness,
was attacked by Enteric Fever.
On February 22nd, a daughter also developed Enteric
Fever. Her mother, who was ill about the same time, died
on March 10th from a disease which was registered as Pericarditis.
The sick persons were visited by a married daughter
and her husband, the former of whom fell ill on March 3rd
of Enteric Fever, and the latter on March 8th of the same
disease.
Another brother who did not live in the lodging-house, but
who also visited there, fell ill on March 15th of Enteric
Fever.