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

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St James's 1862

[Report of the Medical Officer of Health for St James's, Westminster]

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18
These Tables shew that in whatever diseases a
diminution has taken place it has not occurred in
consumption. At the same time it shews that the
occurrence of consumption is in proportion to the
density of the population. Thus, whilst the average
of death in the St. James's Square District is 18 in
the 100, it is 28 in the Golden Square, and 29 in the
Berwick Street. This gives on an average one death
from consumption in every 594 of the population in
the St. James's Square District, one in every 500 in the
Golden Square District, and one in every 370 in the
Berwick Street District. It should be recollected,
however, that a large number of persons who contract
phthisis in our Parish do not die here. Young men
and women come up from the country, and live two or
three years in our large shops and workrooms, and
contracting phthisis go back again into the country
to die, or they are admitted into hospital, workhouses,
and other institutions. I have omitted, in
the above calculations, the deaths which occur in
the workhouse, and which are very considerable.
The cases of consumption there are probably drawn
principally from the Berwick Street District, but
even supposing that only one third of the workhouse
cases are drawn from that district, it would give
one death from consumption annually in every 280
of the population. When we recollect that the
average death from consumption in all London
is one in 371 of the population, it will be seen
that the great scourge of our population is