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

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Whitechapel 1884

[Report of the Medical Officer of Health for Whitechapel]

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5
There were 33 cases of small-pox, and 42 cases of fever, mostly
scarlet-fever, dealt with, nearly all the patients being sent to Metropolitan
Asylums Hospitals.
The Sanitary Work performed by the Inspectors appears upon
Table G.
It is interesting to notice that out of a total of 196 deaths from
small-pox in London, only 51 were amongst the vaccinated; whilst
80 were registered as " unvaccinated," and the remainder " no statement."
Of the vaccinated, 15.6 per cent, died under the age of 20;
and 84.3 per cent, above that age, when the protective power of
vaccination has diminished ; whilst of the unvaccinated 66.2 per cent,
died under the age of 20, and 33.7 per cent, over that age.
On reference to Table D, it will be observed that 43 more deaths
are recorded this quarter than in the quarter ended June 28th, and
that this difference is on account of the altered positions occupied by
diarrhoea and the respiratory and nervous diseases, which produced
death in the two last quarters; for, whilst 78 more deaths occurred
this quarter from diarrhoea, there were 27 fewer deaths from respiratory
and nervous diseases. No great variation occurred amongst the
remaining classes of diseases.
Cholera.—Whilst so fatal in the South of France, and in Spain,
this disease has mercifully spared our own country; not a single
authenticated case having been reported.
During the quarter, every existing house in the distridt, where, in
1866, a death occurred from cholera, or diarrhoea, has been carefulfy
inspected, and all sanitary defecfts have been remedied.
The disinfection of all gullies in the district has been regularly
carried on, and I do not propose to discontinue this practice until the
advent of colder weather.
Public Mortuary.—Fifty-five inquests were held in the district, 29
of which took place at the London Hospital. The necessity of a room
for the temporary accommodation of the dead net infrequently arises.
A woman died in an adjoining Parish, whence the body was removed
into a room in Thrawl Street, where it remained in company of a
number of people for several days, Before the corpse was isolated
by order of the Inspector it had become much decomposed.
A somewhat similar condition of things is reported by the same
Inspector as having occurred in George Street, Spitalfields, where