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 1903
[Report of the Medical Officer of Health for London County Council]
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The rates per 1,000 living in 1903 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 | _l | _l |
| 1881.90 | 0.19 | _l | _l |
| 1891 | 0.22 | 0.8 | 15.6 |
| 1892 | 0.102 | 0.6 | 17.2 |
| 1893 | 0.161 | 0.9 | 18.4 |
| 1894 | 0.142 | 0.8 | 18.1 |
| 1895 | 0.142 | 0.8 | 17.0 |
| 1896 | 0.132 | 0.7 | 17.6 |
| 1897 | 0.132 | 0.7 | 18.0 |
| 1898 | 0.122 | 0.7 | 18.3 |
| 1899 | 0.172 | 1.0 | 17.0 |
| 1900 | 0.162 | 1.0 | 16.6 |
| 1901 | 0.1l2 | 0.7 | 15.6 |
| 1902 | 0.122 | 0.7 | 15.8 |
| 1903 | 0.082 | 0.5 | 15.7 |
The death-rate in each year since 1868 in relation to the mean death-rate of the period
18G9.1903 is shown in diagram XV.
The monthly Case-rate and case mortality in each of the years 1891.1903 in relation to the
mean of the whole period is shown in diagram XVII.
The seasonal curve of enteric fever based on the number of cases notified in London during
the 14 years 1890.1903 is shown in diagram IV page 13.
The following table shows the death rate from enteric fever in 1903 and the Case-rates in 1903 and the decennium 1893.1902 obtaining in each of the metropolitan boroughs—
| Metropolitan borough. | Cases, 1903. | Case-rate per 1,000 living. | Deaths, 1903. | death-rate per 1,000 living, 1903. | |
|---|---|---|---|---|---|
| 1893.1902. | 1903. | ||||
| Paddington | 44 | 0.6 | 0.3 | 7 | 0.05 |
| Kensington | 66 | 0.6 | 0.4 | 9 | 0.05 |
| Hammersmith | 59 | 0.6 | 0.5 | 9 | 0.08 |
| Fulham | 80 | 0.6 | 0.5 | 15 | 0.10 |
| Chelsea | 13 | 0.7 | 0.2 | 4 | 0.05 |
| Westminster, City of | 71 | 0.7 | 0.4 | 14 | 0.08 |
| St. Marylebone | 67 | 0.8 | 0.5 | 13 | 0.10 |
| Hampstead | 29 | 0.6 | 0.3 | 2 | 0.02 |
| St. Pancras | 88 | 0.9 | 0.4 | 14 | 0.06 |
| Islington | 131 | 0.8 | 0.4 | 23 | 0.07 |
| Stoke Newington | 35 | 0.6 | 0.7 | 5 | 0.10 |
| Hackney | 271 | 1.1 | 1.2 | 36 | 0.16 |
| Holborn | 54 | 0.8 | 0.9 | 5 | 0.09 |
| Finsbury | 52 | 0.9 | 0.5 | 10 | 0.10 |
| London, City of | 14 | 1.0 | 0.6 | 3 | 0.12 |
| Shoreditch | 99 | 1.0 | 0.8 | 13 | 0.11 |
| Bethnal-green | 59 | 1.0 | 0.5 | 12 | 0.09 |
| Stepney | 199 | 1.0 | 0.7 | 27 | 0.09 |
| Poplar | 93 | 1.3 | 0.6 | 17 | 0.10 |
| Southwark | 122 | 0.8 | 0.6 | 23 | 0.11 |
| Bermondsey | 76 | 0.9 | 0.6 | 12 | 0.09 |
| Lambeth | 136 | 0.7 | 0.4 | 23 | 0.07 |
| Battersea | 89 | 0.8 | 0.5 | 17 | 0.10 |
| Wandsworth | 101 | 0.6 | 0.4 | 18 | 0.07 |
| Camberwell | 103 | 0.6 | 0.4 | 17 | 0.06 |
| Deptford Greenwich | 31 44 | 0.8 0.8 | 0.3 0.4 | 4 1 | 0.04 0.01 |
| Lewisham | 49 | 0.5 | 0.4 | 10 | 0.07 |
| Woolwich | 42 | 0.7 | 0.3 | 5 | 0.04 |
| Port of London | 22 | — | — | — | — |
| London | 2,339 | 0.8 | 0.5 | 363 | 0.082 |
The foregoing table shows that among the several metropolitan boroughs the enteric fever
death-rate was highest in Hackney (0.16) and lowest in Greenwich (0.01). The enteric fever
death-rates in London in each of the four quarters of the year 1903 were as follows—First
quarter 0.07; second quarter 0.04; third quarter 0.07; and fourth quarter 0.14 per 1,000 living.
1 See footnote (1), page 22.
2 See footnote (1), page 7.