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 Stepney]
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79
18 per cent of the population in the models were children under 5 years of
age, whereas the proportion in the whole of the Borough was about 13 per cent.
It must therefore be at once conceded that the age distribution in the former
is less favourable to a low death rate than in the latter. The larger the number
of children under 5, the higher should be the death rate. The death rate however
was only 15-3 per 1,000 compared with 19'5 throughout the whole district.
The Infantile Mortality was 141 per 1,000 births, which is less by nearly
18 per 1,000 than in the whole Borough.
Notifiable Diseases.
202 notifications were received, which is equivalent to a rate of 7'73 per 1,000. The rate in the whole district was 8'64 per 1000 of the population.
| The whole of the Borough. | Models. | |||
|---|---|---|---|---|
| Notifications. | Deaths. | Notifications. | Deaths. | |
| Per 1.000. | Per 1,000. | Per 1.000. | Per 1,000. | |
| Scarlet Fever | 3.8 | 0.10 | 4.1 | 0.07 |
| Diphtheria | 2.38 | 0.29 | 2.1 | 0.19 |
| Small Pox | 0.26 | 0.009 | 0.19 | nil |
| Erysipelas | 1.50 | 0.06 | 1.18 | nil |
| Enteric Fever | 0.60 | 0.09 | 0.15 | 0.03 |
There were 24 notifications of Croup, Typhus Fever and Puerperal Fever
in the district, but none in the models. It will be seen that with the exception
of Scarlet Fever the notifiable diseases were less prevalent as well as less fatal.
Even Scarlet Fever, which was more prevalent, was less fatal than throughout
the whole district. When we come to the other infectious diseases that are
not notifiable, and therefore treated at home, we find the death rate very much
higher in the models. Thus, the death rate from Measles was 1.31 per 1,000,
as compared with 0.57 in the whole Borough. The death rate from Whooping
Cough in the models was 0.57 per 1,000, as compared with 0.43 per 1,000.
The death rate from Diarrhœa and Enteritis was 0.31 per 1,000 less in the
model dwellings, than in the whole Borough.
Phthisis was also far less fatal in the models, being 1.41 per 1000, as
compared with 2.26. If we compare the death rate from Phthisis combined
with the other tubercular diseases, we find that it is 1.76 per 1,000 in the
models, and 2.84 in the whole Borough.