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 Whitechapel]
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The deaths from epidemic diseases in the entire District have been 167;
viz., 1 from small-pox, 4 from measles, 78 from scarlet-fever, 1 from
diphtheria, 3 from hooping-cough, 59 from diarrhoea, 18 from fever, and 3
from choleraic-diarrhoea; of the 18 deaths from fever, 4 were from typhus,
12 from enteric and 2 from continued fever. Five deaths of patients from
this District occurred in the Fever Hospital; thus making a total of 23
deaths from fever. There were 2 deaths from scarlet fever in the Homerton
Hospital; thus making a total of 80 deaths from scarlet-fever. There were
3 deaths from erysipelas, 13 from croup, 1 from puerperal-fever, 1 from
cerebro-spinal-fever,* 1 from rheumatism, 9 from pyæmia, 1 from dysentery,
1 from mumps, 1 from cynanche tonsillaris or quinsey, and 1 from
malignant pustule.†
In the corresponding quarter of the previous year the deaths from
epidemic diseases were 128; viz., 3 from measles, 6 from scarlet-fever, 3
from diphtheria, 10 from hooping-cough, 87 from diarrhoea, 13 from fever
and 6 from choleraic-diarrhoea.
The deaths caused by diseases of the respiratory organs, exclusive of
consumption, have been 54; of these, 20 were caused by bronchitis, 32 by
pneumonia, 1 by laryngitis, and 1 by pleuritis.
Consumption was fatal to 69 persons. The deaths from other
tubercular diseases were 44; viz., 21 from mesenteric disease, 13 from
tubercular meningitis,‡ 4 from hydrocephalus, or water on the brain, 4
from scrofula, and 2 from purpura. In the corresponding quarter of the
previous year the deaths from consumption were 70, and from other
tubercular diseases 44.
Diseases of the organs of circulation were fatal to 45 persons; of these,
33 died from disease of the heart, 5 from aneurism, 2 from diseases of
the arteries, and 5 from pericarditis.
Diathetic, or constitutional diseases, were fatal to 24 persons ; of
these, 2 died from dropsy, 12 from cancer, 1 from mortification, 8 from
abscess or from tumour, and 1 from cancrum oris, or gangrene of the mouth.
Diseases of the nervous system, exclusive of convulsions in children,
were fatal to 28 persons; of these, 2 died from epilepsy, 13 from apoplexy,
10 from paralysis, and 3 from diseases of the brain.
Convulsions caused the death of 18 children. In the corresponding
quarter of last year the deaths by convulsions were 27.
The deaths from diseases of the digestive organs were 15; viz., 3 from
peritonitis, 3 from enteritis, 1 from hernia, 2 from disease of the liver, 2 from
* Synonyms: Malignant purpuric fever; Epidemic-cerebro-spmal-meningitis.
Definition:—A malignant epidemic fever attended by painful contraction of the
muscles of the neck, and retraction of the head.
†Malignant Pustule:- A spreading gangrenous inflammation commencing as a
vesicle on exposed skin, attended with peculiar hardness and fætor, and derived from
Cattle similarly diseased.
‡ Tubercular meningitis or acute hydrocephalus.