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

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City of London 1861

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

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10
cases, tabes and scrofula in 173, and hydrocephalus
in 43: bronchitis and pneumonia have caused 441
deaths, teething and the convulsions of infancy 139,
and violence, privation, and poison 167. Of the
zymotic class of maladies, there have been 174
deaths from continued fever, 95 from scarlet fever,
127 from whooping cough, 71 from croup and
diphtheria, 92 from measles, 48 from the diarrhoea
of children, and 15 from diarrhoea and dysentery
among adults, 14 from erysipelas, and 4 from smallpox.
Altogether, therefore, there have been 573
deaths from tubercular diseases, 441 from inflammatory
affections of the lungs, and 640 from
diseases of the zymotic class. The first of these
numbers is considerably below the average (636);
the second is also below it (520); but the third is
greatly above it (601). The chief increase in the
zymotic maladies has been from measles and continued
fever, the former of which has advanced
from an average of 78 in the year to 92, and the
latter from 106 to 174. These facts have already
been discussed in the Quarterly Reports, and I
have informed you how, step by step, these several
diseases have advanced until they reached the limit
of their course, and then they have as gradually
declined. I have also directed your attention to
the fact, that the sickness returns of continued
fever have been most numerous among the poorer
classes of the City, while the mortality returns have