London's Pulse: Medical Officer of Health reports 1848-1972
View report page
Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1898
[Report of the Medical Officer of Health for London County Council]
This page requires JavaScript
| Age-period. | Case-mo. tality per cent, in the period 1892-4 among | Case-mortality per cent, in the period 1895-8 among | Comparative case-mortality in hospitals of Metropolitan Asylums Board (case-mortality among capes not admitted to hospital taken as 100). | |||
|---|---|---|---|---|---|---|
| Cases notified in London not admitted to hospitals of the Metropolitan Asylums Board. | Cases admitted to hospitals of the Metropolitan Asylums Board. | Cases notified in London not admitted to hospitals of the Metropolitan Asylums Board. | Cases admitted to hospitals of the Metropolitan Asylums Board. | Cases notified in 1892-4. | Cases notified in 1895-8. | |
| All ages | 22.1 | 29.1 | 18.0 | 18.4 | 132 | 102 |
| 0— | 54.7 | 69.7 | 51.1 | 38.0 | 127 | 74 |
| 1— | 64.5 | 60.4 | 49.6 | 37.7 | 94 | 76 |
| 2— | 47.5 | 52.8 | 41.4 | 28.7 | 111 | 69 |
| 3— | 41.4 | 46.6 | 29.8 | 24.1 | 113 | 81 |
| 4— | 35.8 | 38.7 | 24.5 | 22.9 | 108 | 93 |
| 5— | 19.1 | 25.9 | 13.9 | 16.3 | 136 | 117 |
| 10— | 5.7 | 9.2 | 4.4 | 6.3 | 161 | 143 |
| 15— | 2.7 | 3.8 | 2.3 | 3.8 | 141 | 165 |
| 20— | 2.3 | 3.9 | 2.0 | 2.3 | 170 | 115 |
| 25 and upwards | 3.6 | 7.6 | 3.1 | 3.6 | 211 | 116 |
| Age-period. | Case-mortality per cent, in the period 1892-4 among | Case-mortality per cent, in the period 1895-8 among | Comparative case-mortality in hospitals of Metropolitan Asylums Board (case-mortality among cases not admitted to hospital taken as 100). | |||
|---|---|---|---|---|---|---|
| Cases notified in London not admitted to hospitals of the Metropolitan Asylums Board. | Cases admitted to hospitals of the Metropolitan Asylums Board. | Cases notified in London not admitted to hospitals of the Metropolitan Asylums Board. | Cases admitted to hospitals of the Metropolitan Asylums Board. | 1892-4. | 1895-8. | |
| All ages. | 2.8 | 6.3 | 2.4 | 4.4 | 225 | 183 |
| 0— | 8.6 | 29.4 | 8.2 | 22.7 | 342 | 277 |
| 1— | 10.2 | 24.8 | 7.6 | 17.2 | 243 | 226 |
| 2— | 6.7 | 18.7 | 6.7 | 12.3 | 279 | 184 |
| 3— | 4.3 | 13.4 | 3.3 | 9.4 | 312 | 285 |
| 4— | 3.3 | 9.4 | 2.0 | 5.6 | 285 | 280 |
| 5— | 1.6 | 3.8 | 1.4 | 2.3 | 237 | 164 |
| 10— | 1.0 | 1.4 | 0.9 | 1.0 | 140 | 111 |
| 15— | 1.0 | 1.8 | 0.9 | 1.1 | 180 | 122 |
| 20— | 1.7 | 1.5 | 2.9 | 1.3 | 88 | 45 |
| 25— | 2.2 | 2.9 | 2.0 | 1.3 | 132 | 65 |
In the period sunder consideration certain circumstances have no doubt affected these figures
apart from any question of treatment.
1. Notification has probably been more general in the later than in the earlier period.
2. The proportion of the total cases of diphtheria in London admitted into the hospitals has
been greater in the later than in the earlier period.
The first of these changes would probably have tended to reduce the fatality in London as a
whole, the second to have reduced the fatality of the cases in hospital.
It may be stated in summary—
(1.) That there has been a lower fatality both in the case of diphtheria and scarlet
fever in the period 1895.8 compared with 1892.4.
(2.) Whereas both in 1892-4 and 1895-8 the fatality among cases of scarlet fever
treated in Metropolitan Asylums Board hospitals has been greater than among cases
notified in London not so treated, the fatality among cases of diphtheria treated in Metropolitan
Asylums Board hospitals, which in the period 1892-4 was greater than the fatality
among cases in London not so treated, was in the period 1895-8 practically the same at
" all ages," and much lower at the younger ages than the fatality in London among
cases not admitted to the hospitals of the Metropolitan Asylums Board.