Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Shoreditch]
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21
ENTERIC OR TYPHOID FEVER.
The cases certified numbered 19 of which one was subsequently not regarded
as enteric fever at the hospital to which it was removed, and in the case of
another there were good grounds also for not regarding it as one of enteric fever.
A verdict of death from typhoid fever was returned at an inquest on September 8th
in the case of a man aged 31 who was taken ill on September 2nd and died about
three days later. This case was not certified. One case was certified as continued
fever ; this proved not to be a case of enteric fever.
The numbers of cases certified yearly since 1889 are set out in the following table:—
Year. | Number of Cases. | Year. | Number of Cases. |
---|---|---|---|
1890 | 202 | 1903 | 101 |
1891 | 111 | 1904 | 48 |
1892 | 91 | 1905 | 36 |
1893 | 111 | 1906 | 39 |
1894 | 85 | 1907 | 34 |
1895 | 99 | 1908 | 101 |
1896 | 114 | 1909 | 49 |
1897 | 107 | 1910 | 49 |
1898 | 91 | 1911 | 22 |
1899 | 171 | 1912 | 14 |
1900 | 122 | 1913 | 15 |
1901 | 96 | 1914 | 19 |
1902 | 149 |
Attention may be again directed to the small number of cases during the year.
Although more numerous than in 1913 they were none the less over 50 per cent.
below the average for the previous ten years. The cases were certified at the rate
of somewhat less than 0.2 per 1,000 population as compared with 0.1 in 1913, 0.1 in
1912, 0.2 in 1911, 0.4 in 1910, 0.4 in 1909, 0.8 in 1908, 0.3 in 1907, 0.3 in 1906,
0.3 in 1905, 0.4 in 1904 and 0.8 in 1903.
There were two deaths during the year, including the one the cause of which
was determined by the inquest mentioned above, the rate being 0.01 per 1,000
inhabitants as compared with 0.00 in 1913, 0.03 in 1912, 0.00 in 1911, 0.07 in
1910, 0.05 in 1909, 0.09 in 1908, 0.05 in 1907, 0.03 in 1906, 0.01 in 1905, 0.07 in
1904, 0.11 in 1903 and 0.20 in 1902. The case mortality was at the rate of
10.5 per cent. of the cases certified (11.7 per cent. deducting the cases not
regarded as having been enteric fever) as compared with 6.6 in 1913, 28.5 in
1912, 4.5 in 1911 and 16 in 1910. The case mortality for the 20 years ending 1913
averaged 13.2 per cent. of the cases certified.