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

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Whitechapel 1869

[Report of the Medical Officer of Health for Whitechapel]

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The law, rendering the vaccination of children compulsory, may so
operate as to induce some parents to avoid the registration of the births of
their children, in the hope of their being enabled to escape the penalty to
which they are liable for refusing to have their children vaccinated; and in
poor neighbourhoods the registration of births is often neglected in consequence
of the parents having been unmindful to register the births of their
children at the time when registration can be effected free of expense.
The deaths in the London Hospital have been 113, viz.: 86 males and
27 females. Of the total deaths in this Institution, there were 9 of
residents within the District, 81 of non-residents, and 23 of persons who died
from the result of accident and from sudden death. The deaths from
epidemic diseases in this Institution were 3; of these, 1 was from enteric
fever, and 2 from typhus. These three deaths were of non-residents. The
deaths from pytemia have been 6.
The deaths in the "Workhouse have been 75, viz. : 40 males and 35
females. The deaths from epidemic diseases in this establishment have been
2, viz.: 1 from fever and 1 from diarrhoea. The ages at death of persons
dying in the "Workhouse and in the London Hospital, and the mortality in
these Institutions for the corresponding Quarter of the previous year, are
shown in Table 5 in the Appendix.
The deaths from epidemic diseases in the District have been 113, viz.:
1 from small-pox, 16 from measles, 33 from scarlet-fever, 30 from hoopingcough,
7 from diarrhoea, 23 from fever, and 3 from cholera and choleraicdiarrhoea.
In the corresponding Quarter of the previous year, the deaths from
epidemic diseases were 90, viz.: 28 from measles, 1 from scarlet-fever, 1
from diphtheria, 19 from hooping-cough, 22 from diarrhoea, 17 from fever,
and 2 from cholera and choleraic-diarrhoea. From these returns, it appears
that while only 1 case of small-pox is recorded, fever, scarlet-fever, and
hooping-cough have increased. Seveiwleaths from cholera and choleraicdiarrhoea
have been registered in London during this Quarter. In the
corresponding Quarter of last year 21 deaths were registered from these
causes.
The deaths caused by diseases of the respiratory organs, exclusive of
consumption, have been 107 ; of these, 51 were from bronchitis, 54 from
pneumonia, and 12 from other diseases of the lungs. Consumption was fatal
to 59 persons. The deaths from other tubercular diseases were 36, viz. :
28 from mesenteric disease, 1 from scrofula, and 7 from hydrocephalus, or
water on the brain.
Diseases of the heart were fatal to 28. Three persons died from
aneurism. The death of a male, aged 48, from disease of the arteries, is
recorded; this man had undergone amputation of the toe, and, subsequently,
amputation of the leg.