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 Kensington]
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34
diseases in the Town would be 2.5 per 1000 living; in Brompton 1.3;
in the whole parish, 2.2. In all London 3.5 per 1000. The deaths were
equal to 129 in every 1,000 deaths in Kensington, and to 160 per
1,000 in all London. In England and Wales they were 150 per
1,000 in 1875, the latest year of publication.
Other Diseases of the Zymotic Class.— Croup was the
registered cause of 13 deaths; 12 under 5 years of age; 10 in the
Town sub-district and 3 in Brompton.
Erysipelas was the cause of 11 deaths all in the Town sub-district:
only two of the deaths occurred under 5 years of age.
Puerperal Fever (Metria) was the registered cause of 12 deaths,
8 in the Town sub-district and 4 in Brompton: 3 deaths between
the age of 15 and 25, and 35 and 45 respectively, and 6 deaths
between 25 and 35 years. Five deaths in the Town sub-district
were ascribed to Childbirth (1 between 15 and 25, and 2 each in
the next two decades). The distinction between the deaths in the
two classes of cases is this, that while Metria is a specific and
infectious disease, deaths from Childbirth simply, may be regarded
mainly as accidental being generally due to hemorrhage (flooding).
The total deaths registered as occasioned by, or occurring in, childbed
were equal to 0.3 per cent. on the registered births.
Rheumatism was the cause of 16 deaths (13 of them in the
Town sub-district) all of them above 5 years of age. In most of
the fatal cases of rheumatism the immediate cause of death is
disease of the heart arising in the course of the malady. Many of
the deaths from heart disease that occur in later life have their
origin in rheumatic fever, though from a variety of circumstances
the connection gets overlooked in the medical certificates of the
cause of death.
Enthetic Diseases.—The only fatal disease in this order was
Syphilis, which occasioned 13 deaths, 11 in the Town sub-district,
and 2 in Brompton—eight in the first year, and two in the
second year of life.
Dietic Diseases.—Thirteen deaths were due to the various diseases
included in this order, viz., Privation 1, Purpura and Scurvy
3, and Alcoholism 9. Eight of the deaths ascribed to the abuse of
alcohol occurred in the Town sub-district. The registered cause
of death in six cases was delirium tremens, and in three intemperance.
It is hardly necessary perhaps to say that if the whole of the
deaths due directly and indirectly to the immoderate use of intoxicating
liquors could be ascertained," alcoholism'' would occupy a
much more important position in Table 3.
Parasitic Diseases.—Five deaths in the first year of life, four
of them in the Town sub-district, due to Aphtha (Thrush) are all
that are included in this order.