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

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Coulsdon and Purley 1936

[Report of the Medical Officer of Health for Coulsdon]

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In view of the numbers this year attributed primarily to prostate
and breast, the importance of the last symptom should be emphasized,
and special stress again laid on the need for the investigation of any
lump in the breasts of females, especially over 30 years of age, which
does not subside in a very short time.
Apart from the danger of delay, much ill-health frequently results
from the mental agony caused by postponing examination. The reassurance
of a negative finding is almost as important as an early positive
Deaths from Tuberculosis and Pneumonia are referred to in other
sections of this Report.
Deaths from Violence, including Suicide, were less frequent in 1936
than in 1935, when they accounted for nearly 6.0 per cent. of the total
In 1936 there were 11 deaths from violence, other than suicide,
this being 2 less each year since 1934, which saw the highest number
of deaths from this cause that had been experienced since the formation
of the District. Of the 11 deaths, 5 were from road accidents (3 less
than in 1935), 3 were due to falls, mostly in elderly people, 2 from
aeroplane accidents, and 1 was post-operative.
Deaths from Suicide also decreased in number, there being only
3 as compared with 9, 6 and 3 in the preceding three years. The Death
Rate from this cause was thus 6.0 per 100,000 of population, as compared
with averages of 11 and 12 in the two preceding decades. Two of the
deaths were in males, while in all three, death was due to coal gas
There were 2 deaths associated with childbirth during 1936, the
Maternal Mortality Rate being 2.99 per thousand total births, as compared
with 3.81 in England and Wales.