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

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Marylebone 1929

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

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33
Cancer.—Situation of the Disease.
Parts of the body affected.
Males.
Females.
Totals.
Face, Tongue, Jaw
3
1
4
Throat, Neck, Gullet
19
6
25
Stomach
5
12
17
Intestines
23
23
46
Liver
7
7
14
Breast

21
21
Uterus and Generative Organs

26
26
Various
28
16
44
Totals
85
112
197
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. Onel 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 1929 numbered 66. 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 66.
The total number of notifications coming to hand was 773, which is lower
by 2 than the figure (775) for 1928. The diseases in respect of which fairly large
numbers of notifications were received were scarlet fever (237), diphtheria (180),
pneumonia (92), tuberculosis (173), and erysipelas (40).
The notification rate (proportion to population of notified cases of infectious
diseases) in 1929 was 7.5 per 1,000, as against 7.4 in 1928.
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 :—
Smallpox 3 or loOO per cent, of the cases notified.
Diphtheria 177 „ 98.3 ,, „ „
Erysipelas 14 „ 35.0 „ „ „
Scarlet Fever 233 „ 98.3 „ „ „
Enteric and Paratyphoid
Fever 9 „ 81.8 „ „
Encephalitis Lethargica 2 „ 66.6 „ „ „
Tuberculosis 71 ,, 41.0 „ ,, „
Pneumonia 26 ,, 28.2 „ „ „
Puerperal Fever 8 ,, 75.0 „ ,, „
Puerperal Pyrexia 14 ,, 73.0 ,, ,,