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

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London County Council 1934

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

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The death-rates in London and England and Wales in recent years are shown in the following table:—

Area.1923.1924.1925.1926.1927.1928.1929.1930.1931.1932.1933.
London0.030 .030.020.020.010.020.020.030.020.020.02
England and Wales0.030. 020 .030.020.010.010.020.020.010.010.02

Diphtheria.
Notifications of diphtheria numbered 11,782 in 1934 (52 weeks), compared with
9,557 in 1933. This gives an attack-rate of 2.8 per thousand as against 2.2 in the
preceding year. There were 481 deaths, giving a death-rate of .11 per thousand
living. The case-mortality was 3.9 per cent., compared with 3.8 per cent, in 1933.

The seasonal incidence, as shown by the notifications (uncorrected for errors of diagnosis) received in successive four.weekly periods during the year was as follows:—

l-5-9-13-17-21-25-29-33-37-41-45-49-52
9248287717508908308398136979141,1911,1101,225

The notifications (uncorrected for errors in diagnosis), deaths and crude case-mortality during 1934 were as follows:—

Year 1934.Age-period.Total.
0-1-2-3-4-5-6-7-8-9-10-15 +
Notifications (52 weeks)2085608481,1051,2151,3571,1728396925151,5711,70011,782
Deaths (365 days)134744626658554121183521481
Crude case.mortality percentage6.258.395.195.615.434.274.694.893.033.502.231.244.08

The death.rates in London and England and Wales in recent years are shown in the following table:—

Area.1923.1924.1925.1926.1927.1928.1929.1930.1931.1932.1933.
London0.130.120.110.120.090.090.080.100.060.070.08
England and Wales0.070.060.070.080.070.080.090.090.070.060.07

Diarrhoea and
enteritis.
Diarrhoea and enteritis caused 728 deaths among children under two years of
age or 12.80 per thousand births. The corresponding rate in 1933 was 11.74.
Puerperal
fever and
pyrexia.
Maternal
mortality.
There were 254 notifications of puerperal fever and 758 notifications of puerperal
pyrexia in 1934 (52 weeks) compared with 255 and 838, respectively, in 1933 (52 weeks).
The deaths from puerperal fever numbered 76 and from other puerperal causes
83, the deaths per 1,000 live-births being 1.34 and 1.46 respectively, giving a total
maternal mortality rate of 2.80 compared with 3.66 in 1933.
The deaths from puerperal fever and other puerperal causes per thousand
births in each metropolitan borough and in the county of London in the periods 1920