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

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City of London 1856

[Report of the Medical Officer of Health for London, City of ]

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14
pneumonia and bronchitis in 151. As usual, the
three City Unions have furnished very unequal proportions.
The East London Union has been most
prolific of zymotic maladies—in the proportion of
225 to 158, which is the amount of the Central City
district. In the Western Union, consumption lias
killed 247 of the 1,000, and in the City only 191;
and lastly, bronchitis and pneumonia have been
fatal in 174 cases per 1,000 in the Eastern district,
and only in 139 in the Central. As compared with
England, the chief differences in the causes of
death are the amounts of tubercular disease, especially
of infants; for while tabes, scrofula, and
hydrocephalus are fatal with us to the extent of
ninety-five in the 1,000, in all England the number
is but thirty-six in the 1,000. Now as these
diseases are mostly occasioned by domestic vices, it
may be said that one of the great causes of the high
mortality of children in the City of London is the
unwholesome state of their homes. This I have
endeavoured to illustrate in the eighth table of the
Appendix, where I have classified the deaths from
diiferent diseases under the heads of the several
trades. From that table it would appear that each
class of persons had its own prevailing malady.
Phthisis seems to be the chief disease of needlewomen,
printers, bakers, cabmen, and policemen;
fever prevails most among domestic servants,
needlewomen, and cabmen; bronchitis and pneumonia
among labourers, painters, butchers,