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

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Kensington 1889

[Report of the Medical Officer of Health for Kensington]

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31
advised, persons suffering from diphtheria could not be regarded
as patients suffering from fever. During the past year, 770 persons
with this disease were admitted to the hospitals, 84, 126, 282,
and 278 in the four quarters respectively; of the 245 cases
recorded in Kensington, 102 were removed to the Board's
hospitals, in addition to some 21 admitted to other hospitals.
The Registrar-General in his Annual Summary, expresses a hope,
in which I cordially concur, that the constant increase of this
disease in late years may receive some check from the arrangements
by which cases of it are admitted into the Asylums Board
Hospitals. During the year, he adds, 763 cases were admitted,
and of 681 completed cases, 271 terminated fatally, giving a casemortality
of 39.8 per cent. On this basis he calculates that the
1588 deaths in the whole of London, corresponded to 3990 cases
of equal severity to those admitted into hospital, and that of these
cases 17'3 per cent.were treated either in the Board's hospitals
or the London Fever Hospital.
FEVER.
No death was registered from Typhus Fever or from Simple
Continued Fever. The deaths from Enteric Fever were 19, as
against 11,11 and 21 respectively in the three preceding years, being
two below the corrected decennial average. Thirteen of the deaths
were registered in the Town sub-district, and six in Brompton.
Three of the deaths took place in hospitals, to which 25 patients
were removed. The recorded cases were 50; 20 in North Kensington
and 30 in South Kensington, the Uxbridge Road being
the dividing line. During the four weeks July 14th to August
10th, 11 cases were reported in South Kensington. They occurred
in ten houses in eight streets. Nine of the sufferers were female
domestic servants, one was the wife of a coachman, and one was
the wife of a solicitor. Excepting in one house no sanitary defect
was observed. The ten houses were supplied with milk by five
separate and large firms. The dates of invasion ranged from July
19 to August 9. Several of the cases were of an ill-defined
character, so that the hospital authorities were in doubt for many
days whether they were really typhoid fever.