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 1916

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

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10
The calculation of a death.rate on the civil population from the above figures, would give a result
in no way comparable with the pre.war rates: for not only has the war left in the civil population
practically all the pronounced phthisics, but fatal cases among persons accepted for service and in
those subsequently discharged for tubercular disease are in part recorded as civilian deaths.

Table: The age.distribution of the civilian deaths in the last three years is as follows:—

The age.distribution of the civilian deaths in the last three years is as follows:—

Year.0—1—2—5—10—15—20—25—35—45—55—65 +All ages.
1914625491981403965731,3071,4781,2636883266,476
191557651251081654605791,3051,6181,3546923476,875
19163854891011464715291,2941,4751,2147363446,491
Increase ( + )'15 on' 14— 5+11+24+10+25+64+6—2+140+91+4+21+399
Decrease(—)'16 on '14—24—0—2+3+6+75—44—13—3—49+48+ 18+ 15

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It is worthy of note that there is a decrease in 1916 on the 1914 figures at military ages.
The number of "primary" cases of tuberculosis notified during 1916 (52 weeks) was 17,631, as
compared with 18,661 in 1915. Of these, 13,547 were pulmonary and 4,084 other forms of tuberculosis,
compared with 14,712 and 3,949 in 1915.

Table: The following is an analysis of the cases notified in London in 1916 (52 weeks).

The following is an analysis of the cases notified in London in 1916 (52 weeks).

Form of tuberculosis notified.SexNotifications on Form A. (Total of primary notifications received in London boroughs, other than elementary school cases, infra).
0—1—5—10—15—20—25—35 —45 —55.65 +Age not statedTotal.
Pulmonary tuberculosisM.201463462734455741,7471,7831,18962823517,387
I'.161173733776047771,4511,10664129514815,906
Other tuberculosisM.1534445653341586010770502210_1,973
F.9836544031316311012856461519—1,753
All forms of tuberculosisM.1735909116076036341,8541,8531,23965024519,360
F.1144828136907678871,5791,16268731016717,659

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Form of tuberculosis
notified.
Sex.
Notifications on Form B.
(Primary notifications of cases discovered
through medical inspection in elementary
schools).
Notifications on Form C.
(Secondary notifications from institutions
receiving cases).
0—
5—
10—
15 +
Total.
Poor law.
Other.
Pulmonary tuberculosis
Other tuberculosis
All forms of tuberculosis
M.
F.
M.
F.
3
1
1
3
68
63
123
92
50
66
67
68
2
1
2
2
123
131
193
165
2,233
1,019
257
170
1,941
1,220
54
59
M.
F.
4
4
191
155
117
134
4
3
316
296
2,490
1,189
1,995
1,279
Influenza, bronchitis and pneumonia.
The civilian deaths from influenza numbered 915 in 1916, as compared with 1,058 in 1915, and
613 in 1914. It should be noted that nearly 350 of the deaths in 1916 occurred during the last month
of the year.
The deaths from bronchitis were 5,593 in 1916, 7,058 in 1915, and 5,292 in 1914.; the deaths
in 1915 compare favourably with those for 1914 in the first three.quarters, but in the last quarter the
bronchitis deaths exceeded 2,000, and were higher than in any autumn quarter since 1905.
In 1916 the deaths from pneumonia numbered 5,222, as against 7,133 in 1915, and 5,604 in 1914.
The deaths from lobar pneumonia in 1915 were below the recorded deaths in the four preceding years.
Cerebrospinal fever.
There were 425 cases of cerebrospinal fever notified among the civil population of London in
1916 (52 weeks), as compared with 627 in 1915. The high incidence of the disease in England