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

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Shoreditch 1898

[Report of the Medical Officer of Health for Shoreditch]

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11
Of 351 deaths of Shoreditch parishioners in public institutions without the
parish, 182 occurred in the various general hospitals, 44 in the fever hospitals of the
Metropolitan Asylums Board, 71 in lunatic asylums, 40 in hospitals for special
diseases, 9 in workhouses and infirmaries, and 3 in other institutions. Elsewhere
than in public institutions fifteen residents of Shoreditch died without the parish.
Seven of these were from various forms of violence.
SICKNESS AMONGST THE POOR.
Judging from the number of patients treated by the district medical officers of
the parish, there was le3S sickness amongst the poor during 1898 than last year ; some
3,314 persons received medical advice and treatment as compared with 3,526 in 1897,
4,032 in 1896, 4,690 in 1895, 4,297 in 1894, and 5383 in 1893. An analysis of the
cases treated during 1898 in shown in table XXXII (see Appendix.) The patients
suffering from the various zymotic diseases numbered 511, as compared with 530 in
1897, 697 in 1896, 921 in 1895, 740 in 1894, and 909 in 1893. Patients suffering
from diseases of the respiratory organs numbered 917, as compared with 919 in 1897,
1,083 in 1896, 1,250 in 1895, 1,092 in 1894, and 1,495 in 1893. Cases diagnosed as
cancer numbered 9, as compared with 15 in 1897, 21 in 1896, 15 in 1895, 27 in 1894,
and 23 in 1893.
Cases of bronchitis coming under the treatment of the medical officers at the
dispensary were most numerous during the first and fourth quarters of the year, and
cases of pneumonia during the months of May and June. More persons suffering
from rheumatism applied for treatment during the month of June than in any other
month of the year, and cases of gout were most numerous during the months of May
and June than in any other two months of the year.
ZYMOTIC DISEASES.
The various diseases classed under the above heading (Appendix, table XXX)
cause 891 deaths or 32.9 per cent of the total deaths in the parish from all causes.
Of the 891 deaths, 549 or 61.6 per cent were of children under five years of age. The
distribution of the deaths in the four sub-districts of the parish is shown in tables
XXIX and XXX (Appendix). The deaths from smallpox, measles, scarlet fever,
diphtheria including membranous croup, whooping cough, enteric fever including
continued fever, and diarrhoea, numbered 496, the death-rate being 4.1 per 1,000
inhabitants as compared with 4.2 in 1897, 4.3 in 1896 and 3.8 in 1895. A comparison
of the zymotic death-rates of London and Shoreditch with its sub-districts is contained
in table XXXI. The rate was highest in Hoxton Old Town and lowest in
Shoreditch South.
The cases of infectious disease certified in accordance with the requirements of
the law numbered 960. The numbers certified during previous years together with
t.he attack-rates per thousand population, are as set out below :—