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

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Shoreditch 1926

[Report of the Medical Officer of Health for Shoreditch]

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The deaths from erysipelas were at the rate of 0.02 per 1,000 inhabitants and
approximately 6 per cent, of the cases certified terminated fatally.
Pyaemia and septicaemia, popularly known as blood poisoning, resulted in the
deaths of four males and two females, and infective endocarditis caused the deaths
of eight persons, seven of whom were females.
PUERPERAL FEVER.
Ten cases were certified, three of which terminated fatally; they were all removed
to hospital. The cases certified were at the rate of 3.9 per 1,000 births as compared
with 1.9 in 1925, 3.9 in 1924, 2.5 in 1923, 3.1 in 1922, 2.0 in 1921, 2.9 in 1920 and 1.3
in 1919. The cases certified in the Metropolis numbered 341, and were at the rate
of 4.3 per 1,000 births. The deaths in Shoreditch were at the rate of 1.2 per 1.000
births as compared with 1.5 for London.
PUERPERAL PYREXIA.
Under the Public Health (Notification of Puerperal Fever and Puerperal Pyrexia)
Regulations, 1926, which came into operation on the 1st day of October, 1926, the
above condition became notifiable. Puerperal pyrexia means any febrile condition,
other than puerperal fever, occurring in a woman within 21 days after childbirth
or miscarriage in which a temperature of 100.4° Fahrenheit or more has been sustained
during a period of 24 hours, or has recurred during that period. Five cases were
certified, three of which were removed to hospital. In connection with cases notified
facilities have been provided for consultations with obstretric specialists and for
skilled nursing. Institutional treatment is also readily obtainable for such cases as
require it.
DIARRHCEA.
Twelve deaths were attributed to diarrhoea and 20 to enteritis. Eight of the
deaths from diarrhoea and 14 of those from enteritis were of infants under one year.
Excluding deaths from enteritis the death-rate was 0.11 per 1,000 population.
Including deaths from enteritis in children under two years, the rate was 0.26 per
1,000 population. The deaths from diarrhoea amongst infants under one year
were at the rate of 3.1 per 1,000 births; including deaths from enteritis, under one
year, the rate was 8.7 per 1,000 births. The prevalence of the disease was again
below the average. The usual enquiries were made, but the cases were comparatively
few.
The deaths from diarrhoea and enteritis in children under two years, in the Metropolis
numbered 934, the death-rate being 0.20 per 1,000 inhabitants. The mortality
from diarrhoea and enteritis amongst infants under one year was at the rate of 10.6
Per 1,000 births.
MEASLES.
The deaths numbered 25, as compared with 34 in 1925, 58 in 1924, 23 in 1923,
84 in 1922, 18 in 1921, 50 in 1920, 12 in 1919, 72 in 1918, 139 in 1917, 33 in 1916 and
B