The Annual Report on the Health of the Parish of St. Mary Abbotts, Kensington, during the year 1874Dudfield, T. Orme (Thomas Orme)
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The Annual Report on the Health of the Parish of St. Mary Abbotts, Kensington, during the year 1874
Dudfield, T. Orme (Thomas Orme)
Public health -- England -- London
It is to the deaths from disease that I would draw particular attention,
the bare facts appearing to point to a large amount of neglect of the
sick, which, without explanation, would seem to border on the criminal.
Fatal visceral diseases, it need hardly be said, present symptoms which
the most ignorant cannot altogether overlook—fever, pain, exhaustion,
&c.; and each disease has a more or less prolonged course, varying with
the importance of the organ affected, and with the amount of care
bestowed on the sufferer. It is not credible that any medical man would
be unable to diagnose the existence of such a disease, _e.g._ as
pneumonia, or would refuse to certify the cause of death of a patient who
had died under his care. We are driven to the conclusion, therefore,
that, in a great number of cases of disease, many of the victims being
infants, no effort is made to obtain medical advice for the sufferers,
and hence, when death ensues, an inquest becomes necessary, as there is
no medical certificate to show the cause of death. A post-mortem
examination is made, and then it becomes known that death was caused by a
disease that might have been cured, and that certainly must have had a
well-defined and often a lengthened course. Passing over such maladies
as apoplexy and heart disease, it is only necessary to mention, in
support of this view, such diseases as pneumonia, &c. (30 deaths); brain
diseases (15); convulsions—a symptom rather than a disease (8); scrofula
(5); syphilis (2); diarrhœa, diphtheria, &c. The question then arises,
in connection with such cases as these, whether it is sufficient to
record the cause of death? whether, in fact, some one should not be made
responsible for the neglect to provide medical advice for a child who
ultimately dies “suddenly” or is “found dead” as a consequence of an
attack of pneumonia, that may have extended over one, two, or three
weeks, or even a longer time? Not many weeks before this present writing
one of the “Peculiar People” was found guilty of manslaughter, having
neglected to provide medical attendance for his child, who died of
pneumonia, although it was admitted that every care, otherwise, had been
bestowed on the patient; and, notwithstanding the well-known fact that
with such care a very large proportion of the cases, especially if one
lung only is affected, will recover. It need scarcely be added that the
parents’ neglect had its origin in conscientious motives, however
mistaken and absurd. Can such a plea be made in all or many of the cases
to which I have here alluded: and should negligent parents escape without
punishment—without censure even?
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