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

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Lewisham 1887

[Report of the Medical Officer of Health for Limehouse]

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2
The Deaths in Public Institutions, both within and without the
District of persons ordinarily resident in the District numbered 349.
and comprise 35 in the East London Children's Hospital (the total
number therein being 228). 227 in the Poplar and Stepney Sick
Asylum; 43 in the London Hospital; 13 in the Homerton Fever
Hospital; 11 in the Stepney Workhouse; 3 in the London Fever
Hospital, besides others in the Stockwell Fever Hospital, German
Hospital, Middlesex, King's and Guy's Hospitals.
The Deaths from DISEASES op A ZYMOTIC CHARACTER were
249, and included 58 from Measles, 27 from Scarlet Fever. 65 from
Whooping Cough, 10 from Diphtheria. 6 from Enteric Fever, and
67 from Diarrhoea. No death from Smallpox was registered during
the year.
The Deaths from Measles exceeded the average of the last ten
years by 11.5, and were 19 more than in the previous year. Those
from Scarlatina were below the decennial average by 24.9, but
exceeded the number in the previous year by 4. The deaths from
Diphtheria exhibit a slight increase on the ten years average, and
were 3 more than in 1886. Whooping Cough which caused
deaths appears to have Wen more fatal than in any year since 1882,
when 113 deaths were registered; it also caused a mortality of 7.6
above the decennial average. The deaths from Enteric Fever
were considerably below the average of the last ten years,
and about a third only of those registered in the previous
year. Diarrhoea also, though causing a mortality somewhat
higher than the ten years average, exhibited a decline of 13 deaths
on the number registered in 1886. The age of greatest mortality
from Measles was that from 1 to 5 years, when 42 perished; of Scarlet
Fever from 1 to 5 years, when 14 deaths were recorded ; of
Whooping Cough from 1 to 5 years, when 37 were registered; while
the greatest period of mortality from Diarrhoea was that between
birth and 1 year, when 47 of the total 67 deaths were recorded.
Constitutional Diseases caused a mortality of 250, and
included 22 deaths from Cancer, 602 from Tabes Mesenterica, 32
from Tubercular Meningitis, and 113 from Phthisis. The period of
greatest mortality from Cancer was between the ages of 45 and 55
years, when 9 deaths were recorded. This disease judging from the
number of deaths appears to bo more frequent than it was only six
or seven years ago, although the mortality in 1885 from this cause
exceeded that in 1887, by 11. The deaths from Cancer in the five
years 1877-1881, both inclusive, averaged 13 a year, while in the
five years 1882-1886 they averaged 26 a year.
Developmental Diseases caused 121 deaths, which, as regards
cause, are divided mainly between Premature Birth and Old Age.
Local Diseases proved fatal to 714 persons, and included 141
from affections of the Nervous System ; 93 from Diseases of the
Circulatory System; 357 from Pulmonary Complaints; 73 from