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

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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Mile End 1890

[Report of the Medical Officer of Health for Hamlet of Mile End Old Town]

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6
TYPHUS FEVER.
There were 2 cases of Typhus Fever reported during the
year. It is probable that one of these cases was mistaken
Typhoid Fever ; the other was this disease as far as can be
made out, but as to its origin it could not be traced, although
strenuous steps were taken with this object. It is however
satisfactorv to know that no other case occurred in this locality,
and that neither of the reported cases proved fatal.
TYPHOID FEVER.
During the last year there were 127 cases reported to me, and
out of which only 22 proved fatal, this number is very small
indeed spread over a year, and in a large district like our own ;
the disease was never of an endemic character, and proper precautions
were taken to prevent as far as possible in ever case
the spread of the disease. The following table explains itself:

Table: RETURNS OF MORTALITY BELONGING TO THE HAMLET OF MILE END OLD TOWN.TABLE II. Deaths occurring in the Hamlet including those in the Workhouse and excluding those of Deaths occurring in the outlying Institutions including those in the Extra Metropolitan Asylums.the City of London.

RETURNS OF MORTALITY BELONGING TO THE HAMLET OF MILE END OLD TOWN.

TABLE II. Deaths occurring in the Hamlet including those in the Workhouse and excluding those of Deaths occurring in the outlying Institutions including those in the Extra Metropolitan Asylums.

the City of London.

DISEASES.Quarter ending March. AGES.Quarter ending June. AGES.Quarter ending September. AGES.Quarter ending Jan. 3rd, 1891. AGES.Quarter ending March, 1890. AGES.Quarter ending June. AGES.Quarter ending September. AGES.Quarter ending Jan. 3rd, 1891. AGES.Totals. AGES.
0 11 55 1515 3030 6060 901 01 55 1515 3030 6060 900 11 55 1515 3030 6060 900 51 55 1515 3030 6060 900 11 55 1515 3030 6060 900 11 55 1515 3030 6060 900 11 55 1515 3030 6060 900 11 55 1515 3030 6060 900 11 55 1515 3030 6060 90
ZYMOTIC.Small Pox………………………………………………………………………………………………………………………………………………
Measles.431………………………118…………13152…………………………………………………………1…………28273………
Scarlatina.…2…………11…………3411……192……………1…………………………1……………1…………51841……
Typhus Fever.……………………………………………………………………………………………………………………………………………
Enteric Fever.……1i11……11…………111…………14…………………………………………51………11…………41071
Puerperal.…………………………1…………21…………3……………………………………………1……………………………62…
Diptheria.34…………142………122………232……11………………31………33…………13…………12247……1
Whooping Cough.18241………28162………107…………3……………1……………………………………………………………60473………
Erysipelas.…………………………1…11……………………………………………………………………………………………11……1…
Diarrhoea, Dysentry, & Cholera.21……1…5…………1382…112812……1………………………………21…………………………5552124
CONSTITUTIONAL.Rheumatism and Gout.……222……………1……………11………141………………………………………………………1…………2482
Cancer and other Tumors.………1511…………53…………1011…………610……………2…………2……………52…………2…………13539
Other Constitutional Diseases.21…23131…2425………222……32…21……1…………1……1………1……1…………15618135
Phthisis.……316394113102281…271853277335………321……142……2131……1…24…56175212123
Tabes Mesenterica.93…………422………121…………132…………1……………………………………………………………3982………
Hydrocephalus.1………………1…………1………………1…………………………………………………………………………22…………
Tubercular Meningitis.622………55…………641………15…………12……………………………………………1…………19193………
Dropsy.……………1………………………………2……………1…………………………………………………………………………4…
LOCAL.Heart Disease.1……111261……121714…11214131…351932………13…………23…………181…………2…019147786
Apoplexy.………167………237………136………214………………………………………………………………………61324
Convulsions.236…………266…………352…………399…………1……………1……………2……………1……………12823…………
Bronchitis.4018544158223…21110168…17943181…14422………121……………………1………2………1126476775121
Pneumonia.1510582313136…2133156221082325…513123………212………412…………152……3178507176840
Cerebral Disease.32…1763…1…662211553………119………………………1……………3111………22124353229
Locomotor Ataxy.…………………………1………………………………1…2……1……………………………………………………2……21
Paralysis.………56…………25………12…………234…………21…………1……………1……………13………31719
Croup.181……34…………21……………7……………1…………………………1……………………………7211………
Digestive System.141…23119…2312291…21139…1162…………1…1……………10………………1……1…114338136
Kidney Disease.………336……………322…1292……2…66………1………………2………1……1…………2…2…462517
Development.Premature Births.14…………12………………18……………17……………………………1…………………………………………62……………
Congenital Defects.12……………………………4……………3………………1……………………………………………1……………21……………
Senile Decay.…………43……………25……………29……………29……………………………0……………1………………130……………
Violence.9212116………343…3123113………3…1…1242……3211…3231…2124…3288111717
III Defined and not Specified.………1…1………………………………………………………………………………………………………………………101
17787264515218515350142494922155015258997225100223012316213926151186211l6522751521813132622695632289161532436

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INFECTIOUS DISEASES NOTIFICATION ACT.
The above Act now being in force all over the Metropolis,
cases of infectious diseases are notified to each Medical Officer
of Health soon after it occurs, it will be seen from the adjoining
table, a large number of these diseases have been reported to
me during the past 12 months.
I am happy to say there has been not the slightest friction
between the Medical men of the district and myself in the
working of this Act. We have co-operated amicably both as
regards removal of cases to isolation hospitals where necessary,
as also in the disinfection of clothing, and other sanitary
measures, for the benefit of the inhabitants of the Hamlet, and
I feel sure much good will be found to accrue from such a
necessary measure as the above.