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

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Shoreditch 1930

[Report of the Medical Officer of Health for Shoreditch]

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28
Erysipelas.
The cases certified numbered 67, and there were 4 deaths, all females. The
deaths occurred at the ages of 47 years, 46 years, 3 months and 2 months respectively.
The age, seasonal and ward distribution of the cases are included in the table on
page 19.

A comparison between London and Shoreditch is contained in the following table :—

Per 1,000 inhabitants.Deaths per 100 cases.
Attack rate.Death rate.
London0.540.036.75
Shoreditch0.680.045.97

These cases are not as a routine measure admitted to Hospital; 35 however
were moved, mostly to St. Leonard's Hospital, during the course of the year.
Administrative measures have for their object the securing of adequate treatment,
the discovery of the source and the prevention of the spread of infection.
A case of erysipelas in the house is a source of danger during a confinement or the
puerperium, and enquiries are accordingly made and steps taken to safeguard against
this danger.
Puerperal Fever.
Six cases were certified, five of whom were removed to Hospital. There were
four deaths.
The particulars of the four fatal cases are as follows:—
Age 27 years—Cause of death " Septicaemia following abortion."
Age 30 years—Cause of death " Coma-Septicaemia—Septic abortion
induced by deceased."
Age 30 years—Cause of death " Puerperal Septicaemia."
Age 40 years—Cause of death " Septicaemia following incomplete abortion,
insufficient evidence if natural or due to interference."
It is several years since there have been as many as four deaths from Puerperal
Fever in Shoreditch. It will be noticed, however, that in three of these four cases
infection was associated with abortion.

A comparison between London and Shoreditch during the last 10 years is contained in the following table :—

London.Shoreditch.
Year.Cases.Cases per 1,000 births.Deaths.Deaths per 1,000 births.Cases.Cases per 1,000 births.Deaths.Deaths per 1,000 births.
19213533.51421.4124.042.0
19223113.31291.393.131.0
19233523.91261.372.5......
19242983.51061.2103.910.4
19253243.91171.4134.920.8
19263414.31271.6103.931.2
19272653.5961.3115.020.91
19282953.51151.573.431.4
19293154.51311.951.921.0
19302964.21191.763.042.0