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

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Whitechapel 1877

[Report of the Medical Officer of Health for Whitechapel]

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the Spitalfield9 sub-District; for out of the total mortality from this disease,
24, or more than the half of the deaths occurred in that sub-District,
In the corresponding Quarter of the previous year the deaths from
epidemic diseases were 3S, viz.: 5 from measles, 2 from scarlet-fever, 1
from diphtheria, 14 from hooping-cough, 10 from diarrhoea, and 6 from
fever. In addition to the 6 deaths from fever there were 4 in the Fever
Hospital; thus making a total of 10 deaths from fever for that Quarter.
Mortality of Young Children.
The mortality of children under 1 year of age was 136. This is 20.8
per cent. of the total mortality. In the corresponding Quarter of the
previous year the rate of mortality of children under 1 year was 14.2 per
cent. of the total mortality. In the Spitalfields'sub-District the rate is 30.9
per cent.; in the Mile End New Town 19.8 per cent.; in the Whitechapel
North 41.0 per cent.; in the Whitechapel Church 5.1 per cent.; in the
Goodman's Fields 34.0 per cent.; and in the Aldgate 26.0 per cent. The
difference in the rate of mortality of young children in the Mile End New
Town and Whitechapel Church District is thus explained:—in the former
the Workhouse is situated, and in the latter the London Hospital.
The total deaths under 5 years are 249; which shows a rate of mortality
of 38.2 per cent. in relation to the total deaths, and 36.0 per cent. to the
total births. The rate of mortality under 1 year, in relation to the total
births, is 19.6 per cent., and under 5, 36.0 per cent.
In the corresponding Quarter of the previous year the rate of mortality
of children under 1 year in the Spitalfields sub-District was 34.7 per cent.;
in the Mile End New Town it was 9.7 per cent.; in the Whitechapel
North 18.9 per cent.; in the Whitechapel Church 3.3 per cent.; in the
Goodman's Fields 16.2 per cent.; and in the Aldgate 28.5 per cent.
Pauper Illness in the District.
The Medical Officers of the Union have attended, during the past
Quarter, 569 new cases of illness out of the Workhouse; including 27 of
small-pox, 19 of measles, 12 of hooping-cough, 6 of diarrhoea, 26 of febricula,
and 2 of erysipelas. In the corresponding Quarter of the previous year
the number of pauper cases of illness was 487; including 5 of measles, 2
of hooping-cough, 22 of diarrhoea, 9 of fever, 19 of febricula, and 1 of
erysipelas. The total number of cases of illness in the Workhouse has
been 797; including 6 of small-pox, 2 of measles, 1 of hooping-cough, 16
of diarrhœa, 19 of febricula, 2 of fever, and 7 of erysipelas. In addition to
the above cases, there were 19 cases of syphilis, thus making a total
of 816.
I may here observe that the 27 cases of small-pox which are recorded
in the books of the Medical Officers of the Union, give only a portion of the