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

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Hackney 1885

[Report of the Medical Officer of Health for Hackney]

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6
all the cases in 1883-4 in 20.8 per cent. of the houses, against
48.3 per cent. cases in 1884-5, in 21 "1 per cent. of the houses.
In 1883-4 there were 25 6 per cent, of cases reported from the
houses situated in the space between the half and one-mile
radii, and 27.2 per cent. in the same space in 1884-5, the percentage
of the houses being 31.4. Outside the mile radius
there were only 17.6 per cent. of cases in 1883-4, and 24.5 per
cent. in 1884-5, amongst 47.8 per cent. of all the houses, making
43.2 per cent. of all the cases in the population outside the halfmile
radius against 51.7 per cent. in 1884-5. These figures
show a very decided diminution in the cases within the halfmile
radius as compared with the whole District. The percentages
of the deaths do not correspond with those of the
cases, which arise probably either from a smaller proportion of
the cases being reported to me outside the half-mile radius, or
from the disease having been proportionately more fatal there.
The first supposition was probably the chief cause of the
difference, as I have never had notice of a large proportion of the
cases occurring outside the half-mile radius, because the
residents are generally more wealthy and live in better class
houses. The deaths of persons attacked with Small-pox in the
quarter-mile radius, dying there or removed thenoe to hospitals,
was 33*6 per cent, of the total deaths in 1883-4, and only 199
in 1884-5 ; and between the quarter and half-mile radii 35*2 in
1883-4, against 34*7 in 1884-5, making in 1883-4 a total of
68*8 per cent, of all the deaths from Small-pox within the halfmile
radius, against 54 6 in 1884-5. Between the half and onemile
radius there occurred 16'8 per cent, of all the deaths in
1883-4 and 17"3 per cent, in 1884-5, and in 1883-84 only 14-4
per cent, of all the deaths from this disease occurred amongst
the residents outside the mile radius against as many as 28'1
per cent, in 1884-5. The increase outside the mile radius in
1884-5 is very striking, the percentage having been nearly
double, and affords a great contrast to the mortality in former
epidemic years.