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

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Shoreditch 1913

[Report of the Medical Officer of Health for Shoreditch]

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22
Pyaemia and Septicaemia (blood-poisoning) were given as the cause of death
in 16 instances, 7 of males 9 of females. Infective endocarditis caused the deaths
of two females.
PUERPERAL FEVER.
Nine cases were certified with 4 deaths. The attacks were at the rate of 2.6 per
1,000 births, as compared with 2.2 in 1912, 1.4 in 1911, 2.2 in 1910, 3.5 1909, 1.3 in
1908, 0.8 in 1907, 1.5 in 1906, 2.2 in 1905, 13 in 1904, 1.7 in 1903, 2.2 in 1902, 1.7
in 1901, and 2.5 in 1900.
The death-rate calculated per 1,000 births, was 1.2 as compared with 1.1 in
1912, 0.6 in 1911, 0.5 in 1910, 1.0 in 1909, 0.5 in 1908, 0.2 in 1907, 0.8 in 1906. 1.0
in 1905, 0.5 in 1904, 0.2 in 1903, 0.7 in 1902 and 0.2 in 1901. The mortality was
at the rate of 44 per cent. of the cases notified during the year.
DIARRHOEA.
The deaths numbered 159, and there were besides 58 attributed to enteritis.
The numbers of deaths from diarrhoea in previous years were 40 in 1912, 162 in
1911, 66 in 1910, 79 in 1909, 112 in 1908, 74 in 1907 and 194 in 1906. The deaths
were therefore markedly above the average for the previous seven years. They
mostly occurred during the months of September and October. The deaths from
enteritis were also most numerous during those months. Of the deaths from
diarrhoea 94 were of infants under one year, 61 of children aged from one to five
years, one of a person aged between fifteen and twenty years and the others were
of persons aged between thirty-five and fifty-five years. Of the deaths from
enteritis 39 were of infants under one year, 13 of children aged from one to five
years, 2 of children aged from 5 to 10 years and the rest were of persons over
sixty-five years.
The diarrhoea death-rate was excluding deaths from enteritis T4 per 1,000
population as compared with 0.37 in 1912, T47 in 1911, 0.58 in 1910, 0.69 in
1909, 0.82 in 1908, 0.64 in 1907 and 1.68 in 1906. Taking the deaths from
diarrhoea and including those from enteritis amongst children under two years
together numbering 207 the mortality was at the rate of T89 per 1,000 population
as compared with 0.85 for 1912 and 2.1 for 1911.
The deaths from diarrhoea amongst infants under one year were at the rate of
39.2 per 1,000 births registered during the year as compared with 8.8 in 1912, 30.8
in 1911, 15.0 in 1910, 15.9 in 1909, 23.3 in 1908, 15.3 in 1907, 40.3 in 1906 and 30.6
in 1905.
The usual enquiries were made by the Health Visitors and as far as practicable
steps were taken for checking the spread of infection.