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

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Shoreditch 1908

[Report of the Medical Officer of Health for Shoreditch]

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19
ENTERIC OR TYPHOID FEVER.
The cases certified during 1908 numbered 101, of which 0 were subsequently
not regarded as having been cases of enteric fever.

The numbers of cases certified year by year since 1889 are set out in the following table: —

Year.Number of Cas es.Year.Number of Cases.
l8902021900122
1891111190196
1892911902149
18931111903101
189485190448
189599190536
1896114190639
1897107190734
1898911908101
1899171

During 1907 the cases of enteric fever in the Borough were fewer than in
any year since the notification of infectious diseases became compulsory. For
the year 1908, however, the number was between two and three times greater
than the average for the previous four years. The cases certified were at the
rate of 0.8 per 1,000 population, as compared with 0.3 in 1907, 0.3 in 1900,
0.3 in 1905, 0.4 in 1904, and 0.8 in 1903. Although there was such a marked
increase on the numbers for the previous four years the cases certified during
1908 did not materially exceed the average for the previous eighteen years.
The deaths during the year numbered 11, and the death-rate was 0.09 per
1,000 inhabitants as compared with 0.05 in 1907, 0.03 in 1906, 0.01 in 1905,
0.07 in 1904, 0.11 in 1903, 0.20 in 1902, 0.08 in 1901, and 0.11 in 1900. The
death-rate for 1908 was, therefore, a little above the average for the years
mentioned.
The case-mortality was at the rate of 10.9 per cent, of the cases certified,
or deducting the cases not regarded as having been enteric fever, the mortality
amounted to 11.6 per cent. The case-mortalities for 1907 and 1906 were 17.6
and 10 per cent, respectively. Those for previous years are given in the
Annual Report for 1905. During the past sixteen years the mortality from
typhoid fever has been on an average 16 per cent, of the cases certified.
b 2