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

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Marylebone 1909

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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more especially the epidemic type, is well known to be more common
and more fatal in early life. It is also well known to be an infectious disease
and one which is preventible if proper precautions are taken to protect the food
supply of the child and the child itself from infection.
During warm dry summers, diarrhoea is always much more common than in
wet, cold seasons, and more care must be exercised and greater precautions taken
at such times. The summer of 1909 was not one favourable to the spread of the
disease, less so than 1908, when the total deaths amounted to 55.
A considerable amount of work in connection with the prevention of the
disease is carried out by the women inspectors and the workers of the St
Marylebone Health Society, who visit the homes in the poorer districts and
advise as to the importance of cleanliness, feeding, etc., in preventing diarrhoea,
and distribute and explain special leaflets regarding the disease.
Infectious Diseases, Phthisis, etc., and Respiratory Diseases.

The following table shows the comparative mortality during the fifty-two weeks ended the 1st January, 1910, from these diseases:—

Total deathsRate per 1,000 of the estimated population.
1. Zymotic Diseases1130.89
2. Phthisis and other Tubercular2001.58
3. Respiratory Diseases3242.57

Zymotic Diseases.
The diseases included in this group are:—Smallpox, measles, scarlet fever,
whooping cough, diphtheria and membranous croup, typhus, enteric and
continued fevers, diarrhoea and enteritis. The number of deaths due to each
of these will be found in Table IV.
Phthisis and other Tubercular Diseases.
Under this heading are included deaths from pulmonary phthisis (consumption),
tubercular meningitis, general tuberculosis, tabes mesenterica and
other forms of tuberculosis. The deaths due to the first named numbered 170,