Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London, City of ]
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17
In distributing the deaths according to their
causes, among the several classes in the City, we are
struck with the fact that these causes have operated
very unequally. Fever, for example, has had a
general mortality, during the last nine years, of 38
per 1,000 of all the deaths among males at 15 and
upwards; but among clerks, shoemakers, carpenters,
and watermen, it has ranged from 40 to 43 per 1,000;
among blacksmiths and butchers, from 47 to 49;
and with male domestic servants and labourers it
has been from 51 to 54. The average for the
whole country among males being 50 per 1,000 of
the deaths. Among females, the average mortality
from fever is 43 per 1,000, but among the wives of
cabmen it has been 55; and among needlewomen,
nurses, charwomen, and domestic servants, it has
been from 103 to 106 per 1,000; the average for
England being 49. Diarrhœa, also, is a disease
which has caused about 21 deaths in every 1,000;
but with sailors, bargemen, watermen, costermongers,
and hawkers, it has been fatal to the extent
of from 36 to 52 per 1,000 of all the deaths.
Again, phthisis has been developed, and has had
a rare mortality, among particular classes. Its
average death-rate in the City, among adult males,
is 241 per 1,000 of the deaths; and among females
it is 194; but with costermongers, tailors, and
printers the mortality has been from 279 to 351
per 1,000; and with needlewomen it has been the
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