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

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St Saviour's (Southwark) 1874

[Report of the Medical Officer of Health for St. Saviour's]

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8
not have been avoided by the application of sanitary laws and
regulations.
The total mortality of the past year was 32 less than in the year
1873; and, as the death rate from Epidemics was equal, the diminution
is due to other forms of disease.
The records exhibit an increase respectively of 3 from Pyoemia,
14 from Scarlet Fever, 5 from Typhus and Typhoid, 2 from Rheumatic
Fever, 1 from Infantile Fever, 4 from Syphilis, and 6 from
Croup. The decrease is accounted for by 3 from Erysipelas, 22
from Measles, 1 from Diphtheria, 6 from Whooping Cough, 2 from
Diarrhoea, and 1 from Dysentery.
Throughout the country the death rate from Scarlet Fever was
exceptionally high; and although the Tables which are before you
give an increase in the Saint Saviour's District, yet a comparison
with other localities is highly favorable; and the diminution from
Measles and Whooping Cough is in strongly-marked contrast—the
death rate in all England being equal to the average—while in
this locality it was considerably lower. In the south-east of the
Metropolis the fatal cases of Diphtheria were excessive, but in this
sub-division only two Deaths were registered, and from Small Pox
none. The mortality from Scarlet Fever was less than one-half
the estimate per 1000 of persons living in the remaining parts of
England.
Of the total already given, 73 persons died in the Workhouse
during the year—47 of these were between the ages of 60 and 80
years, and 10 upwards of 80. In the whole District the mortality
among Children under 1 year was 188, and of Adults 137 between
the ages of 60 and 80, and between 80 and 100 years 26. The
registered ages of this latter class were equal to an aggregate of
2194 years, or an average of 84½ years to each individual.
As I have, during the past year, kept a technical weekly record
of the cause of death in every instance, if it would have served
any useful purpose, an exact summary of every disease resulting
in death might easily have been furnished. As such an amplification
would probably neither prove serviceable nor intelligible to
the general public, I have tabulated only those causes which are
to some extent preventable by such measures as Sanitary Boards
possess the power to adopt.
In 1874 there was a diminution of 81 Deaths upon the average
of 10 preceding years, and 70 fewer than the average of 3 years
subsequent to the return of the population, as certified by the
Registrar-General after the census of 1871.