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

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London County Council 1901

[Report of the Medical Officer of Health for London County Council]

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39
In March, a house-breaker living in Rothsay-street, Bermondsey-new-road was attacked.
The source of his infection was unknown. He had for a fortnight before his illness been employeed
in the demolition of houses in Catherine-street, Strand.
In April a man employed as a flower-seller was attacked. He lived in an extremely
dirty room in St. Katherine's-road, Kensington. The source of his infection was unknown.
In May his wife, who visited him in hospital, contracted the disease.
In June a man living in Caledonia-street was certified to have typhus, but the disease was
probably pneumonia in a man of drunken habits. In the same month a woman living in
Whitehorse-lane, Stepney, was attacked. She was engaged in nursing her invalid mother,
and the source of her infection was unknown.
In August a grocer's assistant living in Prince's-street, Stepney-green was attacked. The
source of infection was unknown.
In September a man living in New Compton-street, W.C., was certified to have typhus.
He had just returned from Hamburg and the probabilities are that he did not suffer from this
disease.
In October a man living in Kneller-road, Brockley, was certified to have typhus. He
was a railway porter and had been living in lodgings in Portsmouth for some days previous
to his illness. Before removal, it had been thought desirable that he should be seen by Mr.
Cantlie, the County Council's plague expert, as his symptoms were indefinite and he had some
glandular enlargement. He was, therefore, examined by Mr. Cantlie, by Dr. Harris the
medical officer of health of the district and by the Council's medical officer. It was concluded
that he was suffering from typhus. The source of his infection was not discovered.
Enteric Fever.
The number of cases of enteric fever notified in the administrative county of London
during 1901 (52 weeks) was 3,194 compared with 4,317 in 1900; the number of deaths from this
disease belonging to the administrative county was 497 compared with 717 in 1900.

Ihe rates per 1,000 living in 1901 and preceding periods were as follows— Enteric fever.

Period.Death rate per 1,000 living.Case-rate per 1,000 living.Case mortality per cent.
1871-800.24_*-
1881-900.19_*_
18910.1210.815.6
18920.10l0.617.2
18930.1610.918.4
18940.1410.818.1
18950.1410.817.0
18960.1310.717.6
18970.1310.718.0
18980.1210.718.3
18990.1711.017.0
19000.1611.016.6
19010.1110.715.6

Ihe death rate in each year since 1868 in relation to the mean death rate of the period
18G9-1901 is shown in diagram XIV., and the monthly case rate and case mortality in each of the
years 1891-1901 in relation to the mean of the whole period is shown in diagram XVI. This
diagram shows that the autumnal prevalence of 1901 was less marked than those of the two
preceding years. The decline in case mortality, so conspicuous in recent years in the case of
scarlet fever and diphtheria, is not manifest in the case of enteric fever.

The following table shows the death rate from enteric fever in 1901 and the case rates in 1901 and the decennium 1891-1900 obtaining in each of the metropolitan boroughs—

Metropolitan borough.Cases, 1901.Case rate per 1,000 living.Deaths, 1901.Death rate per 1,000 living, 1901.
1891-1900.1901.
Paddington920.50.6150.10
Kensington990.60.6110.06
Hammersmith770.70.7160.14
Fulham1330.61.0200.14
Chelsea410.70.660.08
Westminster, City of1050.60.6200.11
St. Marylebone820.70.680.06
Hampstead500.60.670.09
St. Pancras1860.90.8300.13
Islington2810.80.8470.14
Stoke Newington260.70.550.10
Hackney1931.10.9200.09

* The Infectious Disease (Notification) Act came into force in 1889
1 See footnote (') page 9.