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

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Hackney 1866

[Report of the Medical Officer of Health for Hackney]

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27
shows, that the average rate of death from cholera in
each 10,000 inhabitants was above 44, and of diarrhoea
about 13, making together 57.4 from cholera and diarrhoea.
As before stated, the population on which the
calculations are based, is I believe under-estimated for
Hackney, but is probably about correct for the districts
as a whole. I have selected the north and east districts
because they are adjacent to Hackney, and form a
natural group with it. As to the north districts, we
find that Hackney, which is the most easterly of the
group, suffered more from cholera than any of the others,
but less from diarrhoea. This might have been expected
to a much greater extent than happened, as the table
shews that the inhabitants of the adjoining parishes,
Bethnal Green and Poplar, were amongst the severest
sufferers from the epidemic.
The rate of mortality from cholera and diarrhoea in
Hackney, was 18, in Shoreditcli 21, in Bethnal Green
nearly 77, in Whitechapel 100, in Saint George in the
East 105, in Stepney 127, in Mile End nearly 80, and
in Poplar 109, per 10,000 inhabitants. The death-rate
in these districts from cholera, varied between 10.6 and
107.6; and from diarrhoea, between 7.6 and 19.8 per
10,000 inhabitants. This comparatively small difference
in the death-rate from diarrhoea, and the immense difference
in those from cholera, point to some agent acting
as a cause of cholera, with greater intensity in one district
than in another. The extreme rapidity with which
the disease reached its culminating point, also points to