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

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St James's 1893

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

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63
Without here entering further into details, it may be
remarked that the Medical Officer of Health reports that
the death-rate of the parish was 18.80 per 1,000 for the
year 1893. The cases of fever were again unusually
numerous during the year, but were chiefly infantile in
character. Thus, 107 cases of scarlet fever; 20 of enteric
or typhoid fever; 47 of diphtheria; 3 of puerperal fever;
32 of erysipelas; 3 of continued fever; and 50 of small
pox, came under the knowledge of the sanitary officers,
but only 28 deaths were attributable to these diseases.
Two officers have been constantly engaged in the work
of inspection with a view to detecting and removing
nuisances, but the Vestry are still more anxious to
prevent insanitary conditions which give rise to nuisances.
With this object they once more appeal to the parishtioners
for intelligent co-operation, especially to such as by
their avocations are brought into contact with residents in
the poorer and more crowded districts. The Vestry will be
glad at all times to receive early information of any nuisance
or supposed nuisance.
Another and most valuable mode of assisting and maintaining
a high degree of public health is for each householder
to insist upon scrupulous cleanliness being observed
in the premises under his control.
It cannot be too strongly urged that proper precautions
against infection will also do much to insure immunity
from sickness generally. The great preventive of disease
is cleanliness—cleanliness in living, cleanliness of person,
and cleanliness of surroundings. The Vestry, as the local