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43
Tubercular Diseases.—During the year 1914 758 cases
of Phthisis were notified, equivalent to a rate of 2.55 per 1,000 of
the population. The total number of deaths of West Ham residents
from the same cause was 361, equal to a death-rate of 1.21 per 1,000,
while the deaths from other tubercular diseases numbered 135,
equal to a death-rate of 0.45 per 1,000. During the previous five
years the average death-rate from Phthisis was 1.16 per 1,000, and
that of other tubercular diseases was 0.44 per 1,000.
Puerperal Fever.—Thirteen cases of this disease were
notified during the year, and four proved fatal, giving a case mortality
of 30.7 per cent. The attack rate (0.04 per 1,000) was the
same as the average rate for the previous five years (0.04 per 1,000),
while the death-rate (0.01 per 1,000) was the same as the average for
five years (0.01 per 1,000).
Midwives Act, 1902.—The Midwives' Roll for 1914 contained
the names of 337 Certified Midwives residing in West Ham,
being a decrease of 21 on the names on the Roll for the previous
year, which numbered 358.
Only 69 midwives sent in notice of their intention to practise
during the year in accordance with Section 10 of the Act.
432 records of sending for medical aid were received from
51 midwives, and the causes which induced them to require assistance
are detailed as under:—
Premature birth 24
Transverse presentation 5
Foot ,, 1
Funis „ 1
Mal „ 2
Face „ 1
Breech „ 8
Shoulder ,, 1
Abnormal ,, 5
Ante-partum hæmorrhage 12