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

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City of London 1865

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

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14
visitation the mortality in the City from alvine
disorders was at the rate of 219.2 per 1,000
of the deaths, or 63.5 per 10,000 of the population.
Six years afterwards, in 1854, there was
another visitation of the epidemic, but the sanitary
condition of the City had been so improved that
the mortality from alvine disorders was reduced to
69.8 per 1,000 of the deaths, or 19.7 per 10,000 of
the living. And now at the close of 1866, when
we have to record the results of another visitation,
we find that the mortality has been only at the
rate of 42.8 per 1,000 of the deaths; or 9.5 per
10,000 of the population.
Nor is it alone in this comparative reduction of
the City death-rates at the several visitations of
cholera, that the beneficial operations of your
sanitary measures are indicated; it is shown likewise
in the low death-rate from cholera in the City
during the past year, as compared with that of
other European cities which the epidemic has
visited. Here the mortality from the disease has
not exceeded 7 per 10,000 of the population;
whereas in all London it has been at the rate of
18 per 10,000, in Paris 39, in Amsterdam 42, in
Naples and in Vienna 51, and in Brussels 163.
Besides which it must not be forgotten that
the City has stood as a barrier between the eastern