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

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Marylebone 1928

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

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Cancer.—Situation of the Disease.

Parts of the body affected.Males.Females.Totals.
Face, Tongue, Jaw516
Throat, Neck, Gullet9413
Stomach171734
Intestines131023
Liver2719
Breast-1515
Uterus and Generative Organs-1818
Various25833
Totals7180151

The fact that the number of deaths certified as due to cancer is showing a
definite tendency to increase is common knowledge, and has been referred to more
than once in these reports. No reason, generally acceptable, to account for this
has as yet been put forward, nor has any theory to account for the occurrence of
the disease, to which the medical profession as a whole can subscribe, been
submitted. One! point upon which there is general agreement, however, is with
regard to the importance, advisability and advantage of early treatment. Of the
accuracy of the; advice now so widely given that there should never be any delay
in seeking an authoritative opinion in any case of doubt and in securing treatment
there can be no question.
ACCIDENT, SUICIDE AND MANSLAUGHTER.
Accidental or violent deaths during 1928 numbered 62. Of these 17 were due
to suicide.
PREVALENCE OF AND CONTROL OVER INFECTIOUS DISEASES.
A table showing, with regard to the infections, the total number of notifications
received, the age distribution and the number of cases notified from each of
the four registration districts, will be found on page 67.
The total number of notifications coming to hand was 775, which is higher
by 89 than the figure (686) for 1927. The diseases in respect of which fairly large
numbers of notifications were received were scarlet fever (223), diphtheria (177),
tuberculosis (161), and erysipelas (67).
The notification rate (proportion to population of notified cases of infectious
diseases) in 1928 was 7.4 per 1,000, as against 6.6 in 1927.

Isolation of Cases.—As the following table shows, the number of cases removed was as high as usual. In no case was compulsion necessary in order to ensure removal to hospital:-

Smallpox30 or 100.0 per cent. of the cases notified.
Diphtheria176 „ 99.4 „ „ „
Erysipelas30 „ 44.8 „ ,, ,,
Scarlet Fever217 „ 97.2 „ „ „
Enteric and Paratyphoid Fever12 „ 52.1 „ „ „
Encephalitis Lethargica2 „ 66.6 „ „ „
Tuberculosis59 „ 36.6 „ ,, „
Pneumonia„ ,, 25.0 „ „ „
Puerperal Fever2 „ 66.6 „ „
Puerperal Pyrexia25 „ 78.1 „ „ „