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

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Clerkenwell 1873

[Report of the Medical Officer of Health for Clerkenwell, St. James and St. John]

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29
As the number of births is considerably in excess, as well as the
number of deaths, there has probably been an increase of population.
The occupation of the new Compton Buildings, and the
Brewers' Buildings, has undoubtedly produced some increase of
population.
On comparing the Tables, it will be seen that the mortality from
all the zymotic diseases has declined considerably ; as has that also
from the principal of these diseases. As these diseases are such as
are most subject to the influence of sanitary measures, the excess
of mortality cannot be attributed to sanitary deficiencies.
We have no deaths to record from Small Pox—thanks to vaccination.
I believe the Act to be well carried out in this parish.
29 deaths arose from Fever—2 being described as from Typhus,
18 from Typhoid, and 9 as from simple continued Fever.
A considerable increase will be noticed in the deaths under the
6th group—Scrofula, &c. This must be attributed to bad domestic
management: improper infant feeding, too close confinement indoors,
and other causes producing general constitutional debility.
The 9th group—Pulmonary diseases, show a great increase.
This may be attributed to the coldness of the Spring Quarter of
the year.
Some increase will be noticed in other groups of diseases ; but
it will be observed that these are not at all amenable to the sanitary
laws, which it is the duty of the Vestry to administer. Thus to
atrophy and debility of infants, 94 deaths are attributed, the
number for 1872 being 74. These arise mostly from want of *
breast-milk, and impioper feeding; the mothers having injured
their health by over confinement at sedentary occupations.
Slaughter-Houses.—The Slaughter-Houses were inspected
by the Sanitary Committee and myself, twice during the year; the
first inspection being in July, and the second in October, prior to
the licensing day. They were 30 kept by 30 butchers. In 1872,
the numbers were 33 and 32. The sanitary improvements ordered
by the Committee were duly carried out.