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

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St James's 1881

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

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30
population is now 184 per acre, and the nett mortality
for the year 1881 was 545—a death-rate of 18.22 per 1000.
The density of the population in the Golden Square SubDistrict
is 215 persons per acre, and in the Berwick
Street Sub-District 169 persons per acre.
The mortality from zymotic diseases during the year
has been 48, and there have been in addition 12 other
deaths among zymotic cases removed from the Parish to
extra-Parochial Hospitals. (At page 39, table ii.)
Of Fever, Small Pox, and Diphtheria, 114 cases came
under notice during the year; but many cases may not
have been known, there being no law requiring that
notice of such cases be given to the Sanitary authority.
Of these 114 cases, 60 were of Small Pox, 48 of Fever,
and 6 of Diphtheria. Sixty-one cases—19 of Fever and 42
of Small Pox—were removed to extra-Parochial Hospitals.
During the year 1881, 52 bodies wero removed into
the Mortuary. In one case disinfection was required, and
the removal of the corpse was probably the means of
preventing the spread of infectious disease. In 31 cases
bodies were removed from the presence of families generally
living in a single room, and where, but for the public
Mortuary, the living would have lived and slept in
presence of a decomposing corpse, upon which, possibly, a
post mortem examination would have to be made before the
interment could take place. In 20 cases the bodies have
been those of casual strangers—homeless, or occurring in
hotels or lodging-houses. 19 Inquests have been held
upon bodies lying in the Mortuary, and 17 post mortem
examinations for judicial purposes have been made in tho
Examination Boom which adjoins the Mortuary.