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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When we come to deal with deaths we find that vaccination
has had a most marked influence, thus of the nine deaths
which took place in the Finchley Hospital all were either unvaccinated
or without any evidence of vaccination, while in
the Highgate Small Pox Hospital, where 18 of our parishioners
died, in only two was any evidence of vaccination found, and
in both of these the vaccination is stated to be "inferior."
Scarlet Fever.
During 1881, in St. Pancras, 180 deaths occurred from
Scarlet Fever, or 3.0 per 1000 of total deaths, a slight
increase on that of last year. Of these 39 were removed to
hospital before their death, and 141 died in their own homes.
The proportion of deaths from Scarlet Fever to 1000 deaths
from all causes in the preceding ten years was 22.6 or 18.8
less than in St. Pancras during 1881.
St. Pancras has suffered, proportionately, more severely
than the whole of London from this disease, the proportion
of deaths from Scarlet Fever per 1000 of total deaths from
all causes being 26 in London as compared with 86 in our
own parish.
The different sub-registration districts have not suffered
equally from this disease. The following table shows the
number of deaths belonging to each district, when the deaths
occurring in hospitals outside the parish are referred back to
the districts from which thev came:—
Total Deaths.
Per 10,000 of
Population.
Eegent's Park 88 9.0
Tottenham Court Road 17 6.0
Gray's Inn Road 25 8.0
Somers Town 28 6.0
Camden Town 22 12.0
Kentish Town 55 6.0
The total number of cases reported to the Sanitary Authority
was 435, and of these 164 were sent to hospital, or 38 per
cent; 136 cases being sent to the London Fever Hospital at
the expense of the Vestry.
There are certainly, at the very least, ten cases of
Scarlet Fever to every death, and at this estimate there were
1800 cases of this disease in the parish during last year;
more than three quarters, therefore, of the total number of
cases never became known to the department. Although a
certain proportion of these cases may have occurred in houses
where there was ample opportunity for isolation, there cannot
be any doubt but that many of them must have been so