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
The greater fatality of the zymotic diseases generally, and of measles in
particular, in the Town sub-district, cannot fail to be noticed; as well
as the high mortality from tuberculous and lung diseases, atrophy of
children, croup, &c. It is obvious, in fact, that the diseases which
depend on a lowered condition of vitality, or on hereditary taint, are
more prevalent in the Town sub-district than in Brompton. So are the
diseases that may be correctly described as of a more or less preventable
character, such, for example, as the lung diseases which are so fatal at
the extremes of life, when the influences of neglect and poverty, on the
one hand, and of care and comfort on the other, are so strong for evil or
for good in the exposure of young and old to, or their preservation from,
the predisposing causes of disease. The diseases which mark the later
periods of life are, as might be expected, prominently noticeable in the
Brompton mortality, such, for instance, as the brain diseases, apoplexy
and paralysis, and heart disease. Cancer was equally fatal in both
districts. Croup, on the other hand, was most fatal in the “Town,” and
Bright’s disease, by comparison, in Brompton. I say nothing on the
relative numbers of deaths attributed to “old age,” as the employment of
that term generally implies failure of diagnosis rather than death
without disease.
Under the heads of the various diseases, and in Tables 3 and 3a
(Appendix), I have specified in detail the causes of death; but in these
introductory general remarks it will not be out of place to refer to the
mortality in the parish as a whole from some of the principal classes and
orders of diseases. Thus the seven principal diseases of the zymotic
class (or rather _six_, for there was no death from small-pox) were
accountable for 388 deaths—a mortality equivalent to 2.8 per 1,000
persons living, and to 144 out of every 1,000 deaths. Chest diseases,
other than phthisis, killed 554 persons (an increase of 71 over 1873),
equivalent to 4 per 1,000 of the population, and to 208 per 1,000 deaths.
Tuberculous diseases (including phthisis, scrofula, rickets, and tabes)
were the causes of 326 deaths, or 2.3 per 1,000 living, and 121 per 1,000
deaths. Nearly allied to these diseases, if not identical in origin, are
the wasting diseases of children, viz., those registered as marasmus,
atrophy, debility, want of breast milk, and premature birth. These
killed 209 children under five years of age, equal to 1.5 per 1,000
living, and to 77 per 1,000 deaths. The convulsive diseases of infants
(hydrocephalus, infantile meningitis, convulsions, and teething) were
fatal to 161 infants under five, or 1.1 per 1,000 living, and 59 per
1,000 deaths (_vide_ Table 4, Appendix). Constitutional diseases caused
591 deaths = 4.2 per 1,000 living, and 232 per 1,000 deaths. Local
diseases caused 1,143 deaths = 8.3 per 1,000 living, and 434 per 1,000
deaths.
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