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

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Orsett 1906

[Report of the Medical Officer of Health for Orsett]

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NOTES TO TABLES IV. AND V.
Notks.—(a) In Table IV. all deaths of "Residents" occurring in public institutions,
whether within or without the district, are to be included with the
other deaths in the columns for the several age groups (columns 2-8).
They are also, in columns 9-15, to be included among the deaths in
their respective "Localities" according to the previous addresses of
the deceased as given by the Registrars. Deaths of "Non-residents"
occurring in public institutions in the district are in like manner to be
excluded from columns 2-8 and 9-15 of Table IV.
(b) See notes on Table I. as to the meaning of "Residents" and "Nonresidents,"
and as to the "Public Institutions" to be taken into
account for the purposes of these Tables. The "Localities" should
be the same as those in Tables II. and III
(c) All deaths occurring in public institutions situated within the district,
whether of "Residents" or of "Non-residents," are, in addition to
being dealt with as in note (a), to be entered in the last column of Table
IV. The total number in this column should equal the figures for
the year in column 9, Table I.
(d) The total deaths in the several "Localities" in columns 9-15 of this
Table should equal those for the year in the same localities in Table
II.. sub-column c. The total deaths at all ages in column 2 of Table
IV. should equal the gross total of columns 9-15, and the figures for
the year in column 12 of Table I.
*(e) Under the heading of "Diarrhœa" are to be included deaths registered
as due to Epidemic diarrhoea, Epidemic enteritis, Infective
enteritis, Zymotic enteritis, Summer diarrhoea, Dysentery and
Dysenteric diarrhoea. Choleraic diarrhoea, Cholera and Cholera Nostras.
In addition, and as regards deaths of children under one year of age,
under the heading "Diarrhœa" in column 3 (Table IV.) are to be
included all deaths classified as "Diarrhœal Diseases" in Table V.
Under the heading of "Enteritis" in Table IV. are to be included only
deaths over one year of age registered as due to Enteritis, Mucoenteritis,
Gastro-enteritis, Gastric catarrh, Gastritis, and Gastrointestinal
catarrh, unless from information obtained by enquiry from
the certifying practitioner or otherwise, the Medical Officer of Health
should have reason for including such deaths under the specific term
"Diarrhœa." Deaths from diarrhoea secondary to some other welldefined
disease should be included under the latter.
(f) Under the headings of "Cancer" and "Puerperal fever" should be
included all registered deaths from causes comprised within these
general terms. Thus: Under "Cancer" should be included deaths
from Cancer, Carcinoma, Malignant disease, Scirrhus, Epithelioma,
Sarcoma, Villous tumour, and Papilloma of bladder, Rodent ulcer.
Under "Puerperal Fever" are to be included deaths from Pyaemia,
Septicaemia, Saprmia, Pelvic peritonitis. Peri- and Endo-Metritis
occurring in the Puerperium.
(g) Under "Congenital Defects" in Table V. are to be included deaths
from Atelectasis, Icterus neonatorum, Navel haemorrhage, Malformations
and Congenital hydrocephalus.
(h) Under "Tuberculous Meningitis" are to be included deaths from
acute Hydrocephalus.
(i) Under "Other Tuberculous Diseases" are to be included deaths from
Tuberculosis, Tuberculosis of bones, joints, and other organs, Lupus
and Scrofula.
(j) All deaths certified by registered Medical Practitioners and all Inquest
cases are to be classed as "Certified"; all other deaths are to be
regarded as "Uncertified."
In recording the facts under the various headings of Tables I., II., III., IV.
and V., attention has been given to the notes on the Tables.
REA CORBET, Medical Officer of Health.
Dated February 16th, 1907.
* As regards infantile diarrhœa and Table V., it will suffice if Medical Officers of Health,
who have already tabulated deaths of 1906 in accordance with the schedule of the Incorporated
Society of Medical Officers of Health, enter all deaths under one year that they regard as clue
to diarrhoea under the single heading " Diarrhœa, all forms."
This having been done, it will be necessary that the entry against "Diarrhoea" in
column 3 of Table IV. should tally with the sum of deaths under "Diarrhoea, all forms,"
entered in the final column of Table V.