London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
London County Council 1902
[Report of the Medical Officer of Health for London County Council]
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58
Only the first of these cases was, after admission to hospital, regarded as a case of typhus.
The patient was a boy aged 14. The case was notified in the first instance as one of enteric fever ;
the patient was moved to the German Hospital, Dalston, where his malady was regarded as
typhus. The source of his infection could not be ascertained.
Enteric Fever.
The number of cases of enteric fever notified in the administrative county of London
during 1902 (53 weeks) was 3,407, compared with 3,194 in 1901; the number of deaths from
this disease belonging to the administrative countv was 537, compared with 497 in 1901.
The rates per 1,000 living in 1902 and preceding periods were as follows—
| Period. | Death rate per 1,000 living. | Case-rate per 1,000 living. | Case mortality per cent. | |
|---|---|---|---|---|
| 1871-80 | 0.24 | - | - | |
| 1881-90 | 0.19 | _ | - | |
| 1891 | 0.121 | 0.8 | 15.6 | |
| 1892 | 0.101 | 0.6 | 17.2 | |
| 1893 | 0.161 | 0.9 | 18.4 | |
| 1894 | 0.141 | 0.8 | 18.1 | |
| 1895 | 0.141 | 0.8 | 17.0 | |
| 1896 | 0.131 | 0.7 | 17.6 | |
| 1897 | 0.131 | 0.7 | 18.0 | |
| 1898 | 0121 | 0.7 | 18.3 | |
| 1899 | 0.171 | 1.0 | 17.0 | |
| 1900 | 0.161 | 1.0 | 16.6 | |
| 1901 | 0.111 | 0.7 | 15.6 | |
| 1902 | 0121 | 0.7 | 15.8 | |
The death-rate in each year since 1868 in relation to the mean death-rate of the period
1809-1902 is shown in diagram XVII. The monthly case-rate and case mortality in each of
the years 1891-1902 in relation to the mean of the whole period is shown in diagram XIX.
The following table shows the death-rate from enteric fever in 1902, and the case -rates in 1902, and the decennium 1892-1901 obtaining in each of the metropolitan boroughs—
| Metropolitan borough. | Cases, 1902. | Case-rate per 1,000 living. | Deaths, 1902. | Death-rate per 1,000 living, 1902. | |
|---|---|---|---|---|---|
| 1892-1901. | 1902. | ||||
| Paddington | 83 | 0.5 | 0.6 | 13 | 0.09 |
| Kensington | 83 | 0.6 | 0.5 | 19 | 0.11 |
| Hammersmith | 51 | 0.6 | 0.4 | 11 | 0.09 |
| Fulham | 74 | 0.6 | 0.5 | 9 | 0.06 |
| Chelsea | 35 | 0.7 | 0.5 | 6 | 0.08 |
| Westminster, City of | 132 | 0.6 | 0.7 | 20 | 0.11 |
| St. Marylebone | 96 | 0.7 | 0.7 | 15 | 0.11 |
| Hampstead | 46 | 0.6 | 0.5 | 11 | 0.13 |
| St. Pancras | 197 | 0.9 | 0.8 | 44 | 0.18 |
| Islington | 263 | 0.8 | 0.8 | 46 | 0.13 |
| Stoke Newington | 22 | 0.7 | 0.4 | 4 | 0.08 |
| Hackney | 184 | 1.1 | 0.8 | 31 | 0.14 |
| Holborn | 40 | 0.8 | 0.7 | 6 | 0.10 |
| Finsbury | 82 | 0.8 | 0.8 | 9 | 0.09 |
| London, City of | 15 | 1.0 | 0.6 | 2 | 0.08 |
| Shoreditch | 150 | 0.9 | 1.3 | 22 | 0.18 |
| Bethnal-green | 132 | 1.0 | 1.0 | 14 | 0.11 |
| Stepney | 296 | 0.9 | 1.0 | 34 | 0.11 |
| Poplar | 209 | 1.3 | 1.2 | 27 | 0.16 |
| Southwark | 193 | 0.7 | 0.9 | 23 | 0.11 |
| Bermondsey | 130 | 0.9 | 1.0 | 13 | 0.10 |
| Lambeth | 218 | 0.7 | 0.7 | 38 | 0.12 |
| Battersea | 96 | 0.8 | 0.6 | 16 | 0.09 |
| Wandsworth | 145 | 0.6 | 0.6 | 29 | 0.12 |
| Camberwell | 146 | 0.6 | 0.5 | 31 | 0.12 |
| Deptford | 76 | 0.8 | 0.7 | 13 | 0.11 |
| Greenwich | 68 | 0.8 | 0.7 | 9 | 0.09 |
| Lewisham | 60 | 0.5 | 0.4 | 9 | 0.07 |
| Woolwich | 61 | 0.7 | 0.5 | 13 | 0.11 |
| Port of London | 24 | — | - | - | - |
| London | 3,407 | 0.8 | 0.7 | 537 | 0.121 |
| * See footnote (*), page 48. 1 See footnote (*;, page 12. | |||||