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

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London County Council 1910

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

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44
Annual Report of the London County Council, 1910.
The death-rate in each year since 1868 in relation to the mean death-rate of the period 18691910
is shown in diagram (Q).
Question of typhus arose in connection with the illness of four patients admitted into the
hospitals of the Metropolitan Asylums Board during 1910. A young man, aged 18, was admitted
from St. Marylebone; he was found later to be suffering from endocarditis. A shop boy, aged 15,
was admitted from Islington; the disease from which he suffered was not finally regarded as typhus,
A child, aged about 10 years, was admitted from Lambeth. The symptoms after admission suggested
typhus, but later the child was thought to be suffering from meningitis. The only actual case of typhus
was J. B., aged 37 years, who was admitted in June on a certificate that he was suffering from enteric
fever. Later his disease was identified as typhus. He resided in Pennyfields, Poplar, and had been
employed as a painter in Bethnal Green. The source of infection was not known.
Enteric Fever.
The number of cases of enteric fever notified in the Administrative County of London during
1910 (52 weeks) was 1,284, compared with 1,043 in the year 1909 (52 weeks). The deaths from
this disease numbered 196 in 1910 (52 weeks), compared with 146 in 1909 (52 weeks).

The case-rates and death-rates per 1,000 persons living and the case-mortality per cent, in 1910 and preceding periods were as follows :—

Period.Death-rate per 1,000 persons living.Case-rate per 1,000 persons living.Case-mortality per cent.
1871-18800.24–a–a
1881-18900.19–a–a
1891-19000.14b0.817.4
1901-19100.06b0.415.3
19010.11b0.715.6
19020.12b0.715.8
19030.08b0.515.7
19040.06b0.415.1
19050.05b0.315.1
19060.06b0.316.3
19070.04b0.313.9
19080.05b0.316.6
19090.03b0.214.0
19100.04b0.315.3

The death-rate in each year since 1868 in relation to the mean death-rate of the period 1869-1910
is shown in diagram (R).
The notified cases in each week of 1910 may be compared with the average weekly notifications
of the period 1890-1910 on reference to diagram (S).
The monthly case-rate and case-mortality in each of the years 1891-1910 in relation to the
mean of the whole period is shown in diagram (T).

The following table shows the enteric fever cases, deaths, case-rates and death-rates for the year 1910, and the case-rates and death-rates for the period 1905-9 in the several sanitary districts—

Metropolitan borough.Notified cases, 1910 (52 weeks).Case-rate per 1,000 persons living.Deaths, 1910 (52 weeks).Death-rate per 1,000 persons living.
1905-9.19:0.1905-9.1910.
Paddington400.240.2840.030.03
Kensington370.250.2150.040.03
Hammersmith310.270.2640.050.03
Fulham180.320.1220.060.01
Chelsea160.240.2420.040.03
Westminster, City of480.240.3060.040.04
St. Marylebone220.290.1860.030.05
Hampstead200.240.2330.040.04
S. Pancras630.290.2940.040.02
Islington890.320.27170.050.05
Stoke Newington100.220.2020.030.04
Hackney640.440.29100.070.05
Holborn250.340.505x/ w 0.050.10
Finsbury300.380.3440.090.04
London, City of40.290.2020.040.10

Continued on next page.
(a) The Infectious Disease (Notification) Act came into force in 1889. (b) See footnote (c), page 8.