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To the Chairman and Members of the
TWICKENHAM URBAN DISTRICT COUNCIL.
ANNUAL REPORT OF THE MEDICAL OFFICER OF HEALTH,
1 8 9 7.
Mr. Chairman and Gentlemen,
I have the honor to submit to you my Fourteenth Annual Report, as to
the Health and Sanitary condition of the Parish of Twickenham. The Report will
embrace the vital statistics of the year 1897, which terminated on December the 31st,
and a summary of the measures taken for the prevention of the development and
dissemination of disease.
The forms supplied by the Local Government Board (Tables A and B) accompany;
the former, Table A, is that of the deaths; the latter, Table B, that of the population,
births, and new cases of infectious sickness, these tables are both classified according- to
diseases, ages and localities.
Appended also to this Report are the forms supplied by the Middlesex County
Council; Table C (i., ii., iii., iv.) An Analysis of the information required, and the
sanitary work accomplished during the year is embodied in the text of this Report,
under their respective headings, in which are dealt with the various details set forth in
the columns of the above table.
In reviewing the past year, I have to record an increase, amounting to 53, in the
number of death from all causes, as compared with the year 1896. This is attributable
in a measure, to an increase in the mortality of children under 5 years of age, there
being 79 in 1896, and 115 in the past year. The largest number of deaths, amounting
to 38 from all causes, occurred in the month of August. The death rate for the year
1897, is 13.8 per 1,000 ; and the average rate for the past five years is 12.91 per 1,000.
There has also been an increase, amounting to 2, in the number of deaths from the
Zymotic Diseases. With the exception of an outbreak of Measles, in the West District,
towards the close of the year, there has been no prevalence of disease in the above class ;
as will be seen from the number of cases notified, which is the lowest since the adoption
of the Infectious Diseases Notification Act, in this District in 1890.
The vital statistics for the year, are calculated on an estimated population of 18,500