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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107
THE RESULTS OF VOLUNTARY NOTIFICATION
OF INFECTIOUS DISEASES.
With the view of ascertaining the probable results of a
system of compulsory notification, I made an investigation of
the results of voluntary notification as practised in this parish.
Taking the statistics of mortality for twenty-four years, in
respect of the ''principal diseases of the zymotic class," I compared
the number of deaths in the first half-period (1859-70),
before I entered upon the duties of Medical Officer, with the
number in the second half-period (1871-82), during which we
have had the advantage of hospital accommodation. The results
of the investigation are set out in the following Tables.
First period of twelve years (1859-70); without notification
and without hospitals:—
Number of Deaths Annually.
Diseases. | 1859 | 1860 | 1861 | 1862 | 1863 | 1864 | 1865 | 1866 | 1867 | 1868 | 1869 | 1870 | Totals |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Small Pox | 11 | 18 | 2 | 0 | 49 | 5 | 18 | 10 | 29 | 4 | 6 | 8 | 160 |
Measles | 42 | 29 | 53 | 30 | 83 | 100 | 52 | 40 | 19 | 84 | 27 | 70 | 629 |
Scarlet Fever | 53 | 86 | 57 | 110 | 89 | 90 | 31 | 28 | 35 | 170 | 106 | 198 | 1053 |
Diphtheria | ... | ... | ... | ... | ... | ... | ... | ... | ... | ... | 9 | 14 | 23 |
Whooping Cough | 11 | 56 | 37 | 54 | 22 | 56 | 37 | 28 | 68 | 34 | 71 | 55 | 529 |
Fever | 17 | 25 | 32 | 51 | 54 | 60 | 77 | 33 | 46 | 52 | 42 | 46 | 535 |
Diarrhœa | 72 | 35 | 66 | 24 | 54 | 63 | 104 | 112 | 78 | 113 | 108 | 154 | 983 |
Totals | 206 | 249 | 247 | 269 | 351 | 374 | 319 | 251 | 275 | 457 | 369 | 545 | 3912 |
Yearly Average 326
Second period of twelve years (1871-82); with voluntary
notification and with hospitals:—
Number of Deaths Annually.
Diseases. | 1871 | 1872 | 1873 | 1874 | 1875 | 1876 | 1877 | 1878 | 1879 | 1880 | 188.1 | 1882 | Totals |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Small-Pox | 120 | 68 | 1 | 0 | 0 | 8 | 84 | 24 | 24 | 11 | 55 | 0 | 395 |
Measles | 64 | 43 | 38 | 121 | 23 | 128 | 54 | 53 | 60 | 75 | 67 | 77 | 803 |
Scarlet Fever | 95 | 29 | 10 | 32 | 83 | 59 | 31 | 77 | 51 | 105 | 36 | 62 | 670 |
Diphtheria | 11 | 14 | 11 | 26 | 23 | 17 | 10 | 20 | 26 | 22 | 8 | 25 | 213 |
Whooping Cough | 72 | 77 | 44 | 45 | 107 | 124 | 34 | 185 | 93 | 95 | 85 | 119 | 1080 |
Fever | 48 | 42 | 41 | 52 | 29 | 36 | 27 | 33 | 23 | 33 | 31 | 32 | 427 |
Diarrhœa | 129 | 110 | 145 | 112 | 107 | 126 | 99 | 181 | 71 | 128 | 101 | 61 | 1370 |
Totals | 539 | 383 | 290 | 388 | 372 | 498 | 339 | 573 | 348 | 469 | 383 | 376 | 4958 |
Yearly Average 413
The average population in the first period of twelve years (1859-70), was 90,000,
and in the second period (1871-82), 147,300.
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