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

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Shoreditch 1904

[Report of the Medical Officer of Health for Shoreditch]

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9
In addition to the above there are other diseases annually claiming many victims,
which although not usually regarded by the public as being infectious nevertheless are
so. Amongst such diseases may be mentioned pneumonia and bronchitis.
Deaths from smallpox, measles, scarlet fever, diphtheria including membranous
croup, whooping cough, enteric fever and diarrhoea are grouped, and the death-rate due to
them is termed the zymotic death-rate. In 1904 the deaths from these diseases
numbered 370 and the zymotic death-rate was 3.2 per 1,000 inhabitants as compared
with 2.8 in 1903, 3.6 in 1902, 2.9 in 1901, 3.1 in 1900, 3.6 in 1899, 4.1 in 1898, 4.2 in
1897, 4.3 in 1896, and 3.8 in 1895. These figures show that the tendency is for a decline
of the zymotic death-rate of the Borough. A comparison of the zymotic death-rates of
London and Shoreditch, with its Registration sub-districts, is contained in Table VII.
(Appendix.)
The cases of notifiable infectious disease certified during 1904,
excluding 302 casesof chickenpox, numbered 776.

The numbers of cases certified since 1889 and the attack-rates per 1,000inhabitants are contained in the following table:—

Year.Number of cases.Attack-rate per 1,000 inhabitants.
189011589.4
18918627.0
1892147812.0
1893198716.2
189411049.0
189511579.4
1896147312.1
1897133110.9
18989607.8
189911169.2
19009898.1
190111469.8
1902123910.5
19036645.6
19047766.6

The cases of notifiable infectious disease, excluding chickenpox, certified in the
Metropolis, numbered 28,311, which give a rate of attack of 6.0 per 1,000 population.
Considering the great density of the population in Shoreditch it is satisfactory to note
that the attack-rate for the Borough shows but a slight excess over that of the Metropolis
as a whole.
Subjoined is a list of the infectious diseases which are required to be notified tc
the Medical Officer of Health, together with the numbers of cases certified in Shoreditch
during the four quarters of the year, and the numbers and percentages of such
cases which were removed to hospital for treatment:-