BATHS AND WASH-HOUSES.

No steps were taken during the year to supply the parish with these valuable institutions.  I hope, however, that the subject will be taken up again before long, your Vestry having already expressed an opinion favourable to the principle.  I have no doubt that in a few years, and at whatever reasonable cost, Baths and Wash-houses will be regarded as indispensable parts of a well-regulated system of sanitary administration.

SEWER VENTILATION.

The subject of sewer ventilation has made little or no progress during the year, and, as usual, numerous complaints have been received of noxious smells emanating from the gullies and ventilators.  Each case has been dealt with as far as possible; and in many of the cases charcoal filters have been introduced, with the result of putting a stop to complaints.  I am, nevertheless, somewhat sceptical as to the value of this plan, as I cannot divest my own mind of the suspicion that they impede ventilation, and may prove effectual only by preventing the escape of foul air.  The subject was brought very prominently before your Vestry during the current year, in consequence of numerous complaints by inhabitants of Elsham-road of bad smells, not only in the roadway, but also in the houses.  I made an exhaustive report on the locality, and advised measures for diminishing pressure in the sewers, by opening up blind ends, and so allowing the gas to circulate, or, at least, to escape innocuously into the open air, rather than into the houses.  I described the sanitary defects which existed in the houses, and recommended ventilation of the house drains by independent pipes carried from the highest point of the drain to some distance above the parapets of the houses, and I pointed out that this remedy alone would go far to remove the cause of complaint.  To what extent the plans have been carried out I have not yet ascertained, but it is certain that a long period had since elapsed without any communication on the subject having been received in my department.

With respect to the question of circulation of air in sewers, plus ventilation, I may mention that a striking illustration of the value of this plan was afforded in the locality of Notting Hill Square.  At one of the houses at the southern, or loftiest side of the square, there had been numerous cases of fever, and there was clear evidence of the escape of sewer gas into the house in question.  Upon careful enquiry into the drainage of the locality, 1 ascertained that the sewer which received the house drainage originated in a dead or blind end, and that the ventilation was insufficient.  Your Vestry directed a communication to be made between the blind end in question and another very near to it, thus setting up a free circulation in the system; and at the same time freely ventilated the sewer near the junction.  The effect was everything that could be desired: for certain improvements in respect of the trapping and ventilation of the house drains having been carried out, the evil complained of was effectually removed, and no farther illness has been reported.

It is much to be wished that some effectual plan may be soon discovered for ventilating sewers; and, although I do not profess myself competent to decide what direction such a discovery is likely to take, the most promising idea I have yet heard proposes the extraction of foul air by the action of fans placed in suitable localities, the present ventilators being retained in the capacity of inlets for pure air, instead of outlets for foul air; acting, in fact, like the down draught in a mine.  We all know, by reading, what great lengths of galleries in mines deep below the surface of the earth are ventilated, and very efficiently, in this manner, and it seems not unreasonable to hope that the system may be found applicable to the purpose under consideration.  Certainly, there seems no reason to doubt the almost illimitable power of steam fans to induce currents in any direction; and leaving the question to be worked out by those who are making a practical study of it, I can but wish them every success, believing an effectual system of sewer ventilation to be one of the chief sanitary desiderata of the present day.

WATER SUPPLY.

The Report, by Professor Frankland, on the analysis of the waters supplied by the Metropolitan Water Companies during the several months of the year, is, on the whole, somewhat more favourable than usual.  As regards “temperature,” he notices the wide variation in the waters derived from riverian sources, as compared with the narrow range in the deep well water of the Kent Company, derived from the chalk.  The temperature of the Thames water varied from 36° Fahr. in February to 68°–9 in June, a range of 34°; while the range in the water of the Kent Company was only 7°–9 Fahr., viz., from 51–l° in May to 59° in September and October.  The total solid impurities—composed of a great variety of substances, some of which are organic and very objectionable, and at times eminently noxious, while others are either entirely or comparatively harmless—was rather less than in previous years, the progressive increase in the quantity which had been noticed during the years 1871–2–3 having apparently ceased.  The maximum was observed in January, and the minimum in July.  The character of the Thames water, in respect of organic impurity—as represented by its two most important constituents, carbon and nitrogen—was practically the same as in the previous years.  The maximum pollution occurred in March, April, and December, when the river was in a very objectionable condition.  In December the Chelsea Company supplied this foul water in an unfiltered condition, and contaminated with fœcal matter.  The subjoined table shows the maximum, minimum, and average quantity of organic matter in the water, the amount of organic element (organic carbon and organic nitrogen) in the Kent Company’s water being taken as unity, or the standard of comparison:—

Name of Company.

Maximum.

Minimum.

Average.

Kent

1.0

1.0

1.0

West Middlesex

4.3

2.0

3.0

Grand Junction

4.9

2.4

3.3

Chelsea

7.1

2.3

3.7

Professor Frankland remarks that the water of the Thames is at its source as free from pollution as the chalk well water, but on its downward course becomes largely and progressively contaminated by sewage and the washings of cultivated land, especially during winter.

The average hardness of the Thames water—or the weight of carbonate of lime, or its equivalent of other soap-destroying substances, found in 100,000 parts of water was 21° or parts in 1873, and 19.7° in 1874.  Large quantities of soap or soda are required to soften the water before it is used for washing; but this process could be accomplished for a small portion of the expense by substituting lime for soap or soda, as practised on similar waters at Aylesbury, Canterbury, Caterham, and Tring.  The following table exhibits the degree of efficiency of filtration of the waters:—

Name of Company.

No. of occasions
when clear and
transparent.

No. of occasions
when slightly
turbid.

No. of occasions
when turbid.

No. of occasions
when very
turbid.

Chelsea

6

5

0

2

West Middlesex

12

1

0

0

Grand Junction

7

5

1

0

The exceptional occasion on which the water supplied by the West Middlesex Company was slightly turbid was in December, when the condition of the Thames was bad for a lengthened time, so that even the large storage of the Company proved insufficient to render them independent of flood water; it being impossible, moreover, to separate by filtration the whole of the finely divided clay to which the turbidity of the water was due.  The Kent Company’s deep well water, having already undergone natural filtration through an enormous thickness of chalk, is always clear and transparent, without artificial filtration.  The appliances of the Companies supplying river water are, excepting in the case of the West Middlesex Company, unequal to the filtration work required of them.  The microscope is called into use in the examination of potable water, and it always reveals numbers of living and moving organisms in the sediment deposited by turbid water on standing.  The annexed table exhibits the results of such microscopic examinations during the past six years:—

Name of Company.

Number of occasions when living
organisms were found.

1869.

1870.

1871.

1872.

1873.

1874.

Chelsea

3

2

2

3

2

5

West Middlesex

0

0

0

0

0

0

Grand Junction

4

1

1

2

3

5

To Professor Frankland’s valuable report, the main features of which I have thus summarised, are appended numerous tables setting forth, in detail, the various information condensed in the text.  I subjoin, as of greatest general interest, Table M, which exhibits the

Averages for 1874.
(The numbers in this Table relate to 100,000 parts of each Water.)

Names of Companies.

Temperature in Centigrade Degrees.

Total Solid Impurity.

Organic Carbon.

Organic Nitrogen.

Ammonia.

Nitrogen, as Nitrates and Nitrites.

Total Combined Nitrogen.

Previous Sewage or Animal Contamination. (Estimated.)

Chlorine.

Total Hardness.

Proportionate Amount of organic Elements, that in the Kent Company’s Water being taken as 1.

Thames.

Chelsea

11.8

26.46

.211

.039

.001

.155

.196

1250

1.87

19.3

3.7

West Middlesex

12 5

26.62

.176

.028

.001

.124

.153

930

1.83

19 4

3.0

Southwark

12.7

26.68

.192

.030

.001

.125

.155

940

1.83

20.0

3.3

Grand Junction

11. 4

27.00

.186

.033

.001

.129

.164

990

1.83

20 0

3.3

Lambeth

12.0

27.88

.196

.037

.001

.144

.181

1120

1.87

20.0

3.4

Other Sources.

New River

12.2

26.02

.087

.015

.001

.146

.162

1150

1.67

20.1

1.5

East London

11.8

27.13

.153

.027

.001

.076

.104

560

2.04

19.3

27

Kent

12.4

40.36

.057

.012

.000

.371

.383

3 40

2.48

28.1

1.0

But it is not to Professor Frankland alone that we are now indebted for information respecting the water we drink, many very interesting facts being supplied by Major Bolton, R.E., the water examiner appointed by the Board of Trade, under the provisions of the Metropolis Water Act, 1871.  Major Bolton’s reports, which, by his courtesy, I receive every month, afford information on all points relative to the machinery for water supply, and to the provisions already made, or in progress, for giving a constant supply, the main object of the Act; and which, I suppose, we may, at some remote future, hope to obtain.  As the information in question is not generally accessible, I make no apology for presenting a resumé of it on this occasion.  And, first, with respect to the constant service, we learn that the West Middlesex Company are giving constant supply to a number of houses, on the application of the owners, and are fully prepared to extend the supply when called upon.  Extensive works and additional engine power of 120 horse power are in course of construction at Hampton.

The Grand Junction Company have formed a high service reservoir near Kilburn, to contain 6,000,000 gallons, for constant service, and are completing the line of main pipes to connect up this reservoir with the works at Campden-hill; they are likewise erecting boilers and works at Hampton, for which place an additional 70-inch engine of 125 horse power is being constructed, and an extra 30-inch main from Hampton to Kew has been ordered to be laid down.  The Chelsea Company does not appear to have taken, as yet, any steps in this matter, having, as we shall see, other and more pressing work in hand.  The Act of 1871 provides power to compel the companies to give a constant supply as and when the “public authority” may see fit to move.  The authority (Metropolitan Board of Works) has not seen fit to move in respect of the companies supplying this parish, nor is it probable that any steps will be taken until the stringency of the water regulations, to which I have already referred, has been modified.

The number of miles of streets in the Metropolis which contain mains constantly charged, and upon which hydrants could at once be fixed, is 666—including 67 in the West Middlesex, 41½ in the Grand Junction, and 50 in the Chelsea Company’s district.  The companies are prepared to affix hydrants thereon when required by the authorities; but, in fact—although hydrants might be used for street watering—of 2,531 hydrants already erected, 1,996 are for private purposes, and only 535 for public purposes, including 267 for street watering, in the entire Metropolis.

The companies supplying this parish obtain water exclusively from the Thames, viz., the West Middlesex and Grand Junction Companies at Hampton, and the Chelsea Company at Ditton.  The bad state of the water supplied by the last-named company in December appears to have been caused by the intake being “below the filthy outflow of the rivers Mole and Rye.”  The total volume which may be supplied daily by each company is 20,000,000 gallons.  The average daily supply during the month of December was—West Middlesex, 8,600,000; Grand Junction, 10,200,000; and Chelsea, 7,200,000 gallons—eleven to fourteen per cent. of the water (exclusive of waste, an enormous but unknown quantity!) being delivered for other than domestic purposes.  The number of houses supplied in the several districts is—West Middlesex, 46,404; Grand Junction, 35,144; and Chelsea, 28,395.  Only 401 houses in the West Middlesex district have a constant supply.  The estimated population supplied is—West Middlesex, 348,000; Grand Junction, 316,000; Chelsea, 210,000.  The West Middlesex Company possess eleven engines of 1,341 horse power; the Grand Junction, eleven of 1,820 horse power; and Chelsea, eight of 1,025 horse power.  The number of miles of mains possessed by these companies in the Metropolis is—West Middlesex, 248; Grand Junction, 200; Chelsea, 170.  The West Middlesex Company have three subsiding and storage reservoirs for unfiltered water—area, 20½ acres; available capacity, 57,000,000 gallons: and three covered reservoirs for storing filtered water, of an aggregate capacity of 10,922,000 gallons.  This company, by means of its large reservoir capacity, avoids taking in water during floods.  The Grand Junction Company have four subsiding and storage reservoirs for unfiltered water—area, 7 acres; available capacity, 19,500,000 gallons: the number of covered reservoirs for filtered water being three, their capacity 18,000,000 gallons.  This company requires additional impounding and subsiding reservoirs.  The Chelsea Company have no reservoirs for unfiltered water, and only two (capacity, 11,000,000 gallons) for storing filtered water.  The filter beds of the several companies are as follows:—West Middlesex, five in number, area 8 acres, depth 5 feet, viz., Harwich sand 1ft. 9in., Barnes sand 1ft., and gravel (screened to different sizes and arranged in layers) 2ft. 3in.  The average rate of filtration per square foot of area was, during December, 1½ gallons per hour.  (It may be here observed that the quality of the water is improved by a slow rate of filtration—the rate should not exceeded 2½ gallons per square foot of filter bed per hour: this will give 540 gallons per square yard each 24 hours, and at this rate filtration should be effectual.)  Grand Junction: Number of filter beds, 4; area in acres, 7¾; depth, 5ft. 6in.—viz., Harwich sand, 2ft. 6in.: Hoggin, 6in.: fine gravel, 9in.: coarse gravel, 9in.: boulders, 1ft.: average rate of filtration, 1⅓ gallons per square foot of area per hour.  Chelsea: Filter beds, 7; area, 6¾ acres; depth, 8ft.—viz., Thames sand, 3ft. 3in.: shells, &c., 3in.: gravel, 4ft. 6in.; rate of filtration, 2⅓ gallons per square foot per hour.  It will be observed that notwithstanding the greater depth of the filter beds of the Chelsea Company, the water supplied by the Company in all times of difficulty arising from a flooded state of the river is unfit for drinking, although the rate of filtration is slower than that deemed sufficient by the water examiner.  This is due to the total absence of impounding and storage reservoirs for unfiltered water, to the exceptionally bad quality of the water taken in by the Company, owing to the improper situation of the intake at Ditton, and to the impossibility of filter beds removing suspended matter when in any large quantity; that, moreover, being a principal object of the subsiding reservoirs.  The disgusting condition in which the water of the Company was sent out during parts of the months of November and December formed the subject of many complaints, both in the public press and in communications addressed to myself, and was referred to in my reports, dated December 16th, 1874, and January 13th, 1875.  I had, on former occasions, reported specially on the subject, and particularly in February, 1872.  The dissatisfaction which the condition of the water at the latter date gave rise to induced the Company to take steps to improve their means of supply by enlarging their storage.  The scheme submitted to Parliament in the Session of 1873 included the embanking of the Thames at Hampton Court, and was defeated by a strong public opposition, on what I described at the time as æsthetical grounds.  No further attempt appears to have been made by the Company to put their supply on a proper footing until the great outcry referred to arose.  On the 18th December, however, at a special meeting of the proprietors, a resolution to the following effect was passed:—

“That the directors be authorised to take such steps as in their judgment may be necessary or expedient to obtain a fresh intake, with reservoirs and other works connected therewith, and lay the necessary main pipes from the site of such proposed intake to the works at Seething Wells, with the least possible delay.”

The measures taken by the directors to secure the land—an area of 50 acres, near Molesey—for the construction of impounding reservoirs, were approved and adopted, and the directors were authorised to apply to Parliament in the now current Session for the necessary powers.  This they have done, and there is every probability that their Bill will pass, and that with the completion of the contemplated additions to their works this Company will be able, at no distant time, to supply its customers with water as clear and transparent as any derived from the River Thames.

GAS.

During the first half of the year the parish was supplied with cannel gas of 20 candle lighting power, and at the increased price of six shillings and threepence per thousand cubic feet.  Since July common coal gas of 16 candles has been exclusively supplied at a charge of five shillings per thousand.  The subjoined table, taken from the quarterly returns of the chief gas examiner, shows the results of the daily testings of the gas supplied by the Gas Light and Coke Company, at the testing station at 123, Ladbroke Grove, Notting Hill:—

Month.

Illuminating power in Sperm Candles.

Amount of Impurity.

Number of Examinations.

Sulphuretted Hydrogen.

Ammonia per 100 feet Grains.

Sulphur per 100 feet Grains.

January

21.28

4.11

21.92

25

February

21.76

1.15

18.46

23

March

21.47

0.86

15.63

26

April

22.04

0.56

17.37

22

May

21.53

0.39

17.97

23

June

21.28

0.48

17.93

20

July

17.13

0.50

18.76

26

August

16 70

0.37

17.79

23

September

16.83

0.15

17.17

25

October

16.53

(Present 3 times)

0.19

16.44

26

November

16.67

0.19

17.02

24

December

16.68

(Present 3 times)

19.01

25

The next table shows the maxima, minima, and averages of lighting power stated quarterly:—

Period.

Maximum.

Minimum.

Average.

1st Quarter (Cannel Gas)

22.9

19.6 [49a]

21.50

2nd do. do.

23.0

20.3

21.62

3rd do. (Common Gas)

17.6

16.1

16.89

4th do. do.

18.2

15.5 [49b]

16.63

As regards sulphur impurity, the amount was in excess of the permitted quantity (25 grains in 100 cubic feet of gas), on one occasion only during the year, viz., 26.4 grains on 30th July.  Sulphuretted hydrogen was found on three occasions—in the months of October and December respectively.

Ammonia was in excess on 19 occasions in the month of January, but of a total of 25 testings: the average for the entire month being 4.11 grains (maximum 7.5.)  This excess above the maximum allowance (2.5 grains in 100 feet of gas) was due to unavoidable causes, in connection with alterations being then made in the purifying machinery, which, having since been perfected, the ammonia has sunk to an almost infinitesimal quantity.

In the Appendix I have given the quarterly returns of the chief examiner, showing the results of the daily testings—for which I am indebted to the courtesy of Mr. Wakefield, the Clerk to the Metropolitan Board of Works.  These returns show in detail the facts above stated, and prove that the gas has been up to the Parliamentary standard, as estimated by the prescribed tests.  Nevertheless, complaints have been made by persons living in various parts of the parish, of the deficient lighting power of the gas.  It must be assumed, therefore, that in some cases the burners in use have been in fault.  There can, indeed, be no doubt that many consumers fail to obtain a proper light, owing to the habitual use of bad burners, or to the neglect to cleanse good ones.  Burners that were of sufficient capacity for the cannel gas, with which the parish was supplied during the first half of the year, are inadequate, and are not adapted to burn common gas so as to produce a good light.  Some consumers who have reported the sufficiency of the light when proper burners have been employed, have complained of the great increase in the amount of their gas bills, and in a few instances, I understand, the dissatisfaction has been so great as to lead to a discontinuance of the use of gas.  It is a remarkable fact, often observed—a fact that makes us almost despair of ever getting “cheap gas”—that the bills seem always to increase when the price is lowered!  How this is brought about I do not pretend to explain; but, so far as my experience goes, it would seem that gas bills never were lower than when the price per thousand feet was at its highest.  I do not think that extravagance in consumption—as a result of decrease in price—can be admitted to be a sufficient explanation of the phenomenon.  There are mysteries in gas manufacture and supply, which may be revealed hereafter, and the discovery may both enlighten us on the point now mentioned, and also explain the occurrence of complaints of bad light, concurrently with the satisfactory results of the nightly examinations of the gas at the appointed testing station.

During some portion of the year the supply was scarce.  The Company, when applied to for an explanation, attributed the scarcity to the refusal of a “sister Vestry” to allow the roads in their parish to be broken up for the purpose of laying down a larger main from the works at Horseferry Road, to supplement the supply from the Kensal Works, which are inadequate for the large district hitherto dependent on that source.  I am not without hope that when the new 24-inch main is completed some of the causes of dissatisfaction to which I have adverted may be removed, and that a sufficient and well-regulated pressure, with a full supply of gas, will be obtained.

The dissatisfaction with the gas led your Vestry to adopt a curious experiment during the current year, viz., that of burning mineral oil with the Silber light in a certain number of street lamps in the Kensington Road.  I offer no opinion at present on the comparative value of the two sources of light; but I may mention the fact already well known, and referred to in my monthly reports, that the lighting of the streets in this parish is very unsatisfactory, inasmuch as we are still using burners adapted to consume three feet per hour, as in the days of cannel gas, whereas 4½ feet burners, at the least, should be employed.  A suggestion has been made that the average meter system should be adopted in this parish, and it has my cordial approval—already expressed in my monthly reports—as it is only fair and proper that public bodies should pay for the gas they consume and no more.  The average meter system has been adopted in the parishes of Paddington and St. Pancras.  It has given entire satisfaction, and in a very short space of time the first cost of applying the meters to every twelfth lamp will have been defrayed by the saving in expenditure on gas.  In Paddington the Vestry have undertaken all the necessary work of lighting and repairing the lamps.  The gas has been burned for a somewhat shorter average period nightly, and a further large saving in expenditure has thus been effected.  With reference to the cost of gas in this parish, I may be permitted to mention that during the year the revenue of the Company was many thousand pounds more than necessary to pay the ten per cent. dividend—which, in fact, might have been paid without the increase in the price of the gas, sanctioned by the Commissioners appointed by the Board of Trade, in the month of January.  If, however, the price had not been raised during 1874, it is probable that the price charged in 1873 would have been maintained.  But, in the face of the enormous over-taxation of gas consumers in 1874, and the reduced cost of coal, the Company could not apply to the Board of Trade for a revision of the price in 1875, the result being that the charge reverted on the 1st of January to the Parliamentary price of three shillings and ninepence per 1,000 cubic feet.

 

I cannot conclude my report without special acknowledgment of the assistance rendered to me by the sub-district registrars of births, deaths, &c., during the past year, which has been one of crisis.  For many years the Registrar-General had presented to the several Medical Officers of Health of the Metropolis the original manuscript returns of the causes of all deaths registered within their districts during the previous week, these returns being forwarded by the sub-district registrars to Somerset House, and forming the basis of the Registrar-General’s “Weekly Return.”  For this duty the sub-district registrars received no remuneration.  The necessity of similar information being supplied to Provincial Medical Officers of Health arose out of the passing of the Public Health Act, 1872, but no such returns being in existence, the information was not forthcoming.  Hence many difficulties, into which I need not enter.  Suffice it to say that in the Public Health Amendment Act provision was made for the payment of the sub-district registrars by Provincial Sanitary Authorities for information of a precisely similar character to that which had hitherto reached the Metropolitan Medical Officers without expense to the Local Boards.  On the passing of the last-named Act, the London registrars, feeling themselves entitled to remuneration for the “secondary use,” by the Medical Officers of their manuscript returns, applied to the Registrar-General on the subject, and he, in turn, requested the Society of Medical Officers of Health to bring the question of payment on a proposed scale before the several Vestries and District Boards.  The Society, however, declining the somewhat invidious task, the Registrar-General addressed a similar application to the Local Boards.  In the result very few of them consented to the requisition of the Registrar-General, who thereupon gave notice to the Medical Officers that after an appointed day in October he should no longer forward the weekly returns; and he was as good as his word.  Greatly to their credit, Messrs. Barnes and Hume spontaneously put themselves in communication with me, promising to send me a duplicate copy of the returns as before; and this they did, until, some time afterwards, a fair and mutually satisfactory arrangement was completed between your Vestry and these gentlemen.  The upshot is that I obtain the returns early on Monday morning instead of on Wednesday evening, and I am thus enabled to tabulate the vital statistics up to a period within four days of the date of my monthly reports, instead of eleven days, as under the former arrangement.  Additional information of value is also supplied by the registrars, and they continue to forward from day to day, on special forms, notice of any deaths that may have been registered from small-pox, scarlet fever, diphtheria, typhus, enteric, and simple continued fevers, and puerperal fever, &c., so that no time is lost in taking the necessary steps after fatal cases of these infectious diseases.

I have to express my obligations to the officers of the Board of Guardians for information of cases of infectious diseases, &c.; and I am happy to testify my sense of the cordial support I invariably receive from the Sanitary Inspectors, and of the efficient manner in which their onerous, often delicate, and always important duties have been performed.  Some portion of the time of Messrs. Wood and Langman has been taken up in attending to the new duties imposed on them under the Adulteration of Food, &c., Act—especially in attending the police court to conduct prosecutions.  Much of the work of general inspection is still done in a desultory way, owing to the magnitude and inconvenient configuration of the parish, and to the necessity of attending to complaints as they arise from day to day—a necessity that impedes, more or less, the important duty of systematic inspection of the houses in streets, &c., inhabited by the poorer classes of the population.  It is desirable that the 35th clause of the Sanitary Act, 1866, should be adopted, in order to the registration and regular inspection of all houses which are let out in tenements.  No doubt this would involve much additional work for a time, but the benefits would be commensurate, for the risk of overcrowding would be diminished, ventilation would be improved, and the cleansing of the rooms, staircases, &c., would be systematically carried out.  It seems to me that this is the direction sanitary improvement should take in the future; and the staff having been increased by the appointment of an additional officer, I am not without hope of being able to bring the subject under the notice of your Vestry at an early date, with reasonable prospect of success.  A principal difficulty in connection with sanitary administration is that of securing an efficient record of work done—a difficulty which has been much lessened in this parish by the conspicuous care and ability with which Mr. Rudman has performed the clerical duties of the department.

I am, Gentlemen,

Your very obedient Servant,

T. ORME DUDFIELD, M.D.,
Medical Officer of Health.

Vestry Hall, Kensington,
         August, 1875.

APPENDIX.

Note—The forms for Tables I.–VI. have been settled by the Society of Medical Officers of Health to ensure uniformity of Statistical returns.

TABLE I.

Estimated population 1874, at the middle of the year, and in 10 previous years; number of inhabited houses; Births, Deaths and Marriages (gross numbers).

Year.

Estimated Population. [57a]

Number of Houses.

Registered Births.

Deaths.

Marriages. [57b]

1874.

138,000.

17,667.

4,356.

2,696.

1,311.

1873

133,000

16,920

4,182

2,436

1,243

1872

127,400

16,206

4,041

2,171

1,132

1871

121,500

15,394

3,804

2,328

1,131

1870

116,350

15,279

3,705

2,473

892

1869

111,350

14,654

3,625

2,249

891

1868

106,350

14,029

3,522

2,232

984

1867

101,350

13,404

3,158

1,938

974

1866

96,350

12,779

3,080

1,966

984

1865

91,350

12,154

2,619

1,733

920

1864

86,350

11,529

2,494

1,849

No Information

Average of 10 years, 1864–1873

109,135

14,234

3,423

2,137

Notes.

Population at Census, 1871, 120,234.

Area in Statute Acres, 2,190.

Average number of persons in each house at Census, 1871, 7.8.

TABLE II.

Showing Birth and Death Rate: Deaths of Children, and Deaths in Public Institutions 1874, and 10 previous years.

The Year.

Births per 1000 of the Population.

Death rate per 1000 living.

Deaths of Children under 1 year per cent. to Total Deaths.

Deaths of Children under 1 year per cent. to Registered Births.

Deaths of Children under 5 years per cent. to Total Deaths.

Deaths in Public Institutions.[58]

1874.

31.7

19.5

28.5

17.5

45.4

352

1873

31.4

18.3

27.0

15.9

40.0

272

1872

32.1

17.0

28.9

15.6

44.2

264

1871

31.3

19.1

25.0

15.0

41.6

252

1870

32.1

21.2

24.4

16.4

42.9

330

1869

32.5

20.2

318

1868

33.1

21.0

303

1867

31.2

19.0

40.6

221

1866

32.0

20.4

41.6

248

1865

28.7

19.0

250

1864

28.9

21.4

41.6

281

Average of 10 Years, 1864–1878.

31.3

19.6

41.8

273

† = No information.

TABLE III.
Deaths Registered from all causes during the year 1874.

(The Deaths in Public Institutions of non-residents being excluded.)

CAUSES OF DEATH.

AGES.

Total deaths under Five.

Grand Total.

SUB-DISTRICT.

Under 1.

1 to 2.

2 to 5.

5 to 15.

15 to 25.

25 to 35.

35 to 45.

45 to 55.

55 to 65.

65 to 75.

75 to 85.

85 to 95.

95 and upwards.

Kensington Town.

Brompton.

(CLASSES).

I.  ZYMOTIC DISEASES

187

89

95

40

24

26

13

13

10

8

3

1

...

371

509

424

85

II.  CONSTITUTIONAL

69

46

44

40

49

60

58

56

32

29

8

...

...

159

491

399

92

III.  LOCAL

242

66

52

21

27

54

75

121

152

180

129

22

4

360

1145

921

224

IV.  DEVELOPMENTAL

228

16

4

...

4

6

4

1

1

14

43

31

4

248

356

296

60

V.  VIOLENT DEATHS

28

...

2

4

1

2

1

7

4

1

...

...

...

30

50

44

6

(Not specified.)

8

6

6

...

...

...

...

...

...

...

...

...

...

20

20

18

2

Total

762

223

203

105

105

148

151

198

199

232

183

54

8

1188

2571

2102

469

I.  ZYMOTIC DISEASES.

Order 1.—MIASMATIC.

Small-pox

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Measles

37

47

35

2

...

...

...

...

...

...

...

...

...

119

121

115

6

Scarlet Fever (Scarlatina)

1

8

12

11

...

...

...

...

...

...

...

...

...

21

32

28

4

Diphtheria

3

2

9

7

...

2

1

1

1

...

...

...

...

14

26

24

2

Quinsy

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Croup

7

4

14

1

...

...

...

...

...

...

...

...

...

25

26

25

1

Whooping-cough

14

17

13

1

...

...

...

...

...

...

...

...

...

44

45

36

9

Typhus

...

...

1

2

...

...

...

3

1

1

1

...

...

1

9

9

...

Enteric or Typhoid Fever

...

3

2

7

6

1

4

3

...

2

...

...

...

5

28

19

9

Simple continued Fever

3

1

4

1

...

1

...

...

2

2

1

...

...

8

15

11

4

Erysipelas

3

...

1

2

4

3

2

3

2

1

...

...

...

4

21

13

8

Puerperal Fever (Metria)

...

...

...

...

9

12

3

...

...

...

...

...

...

...

24

18

6

Carbuncle

...

...

...

...

...

1

...

1

1

...

...

...

...

...

3

2

1

Influenza

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Dysentery

...

...

...

...

...

...

...

...

2

...

...

...

...

...

2

2

...

Diarrhœa

100

6

2

...

...

...

...

...

...

2

1

1

...

108

112

90

22

Simple Cholera

5

...

...

...

...

...

...

...

...

...

...

...

...

5

5

3

2

Ague

...

...

...

...

...

...

...

1

...

...

...

...

...

...

1

1

...

Remittent Fever

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Rheumatism

1

...

2

5

5

3

1

...

...

...

...

...

...

3

17

13

4

Other Zymotic Diseases

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Order 2.—ENTHETIC.

Syphilis

11

1

...

...

...

...

...

...

...

...

...

...

...

12

12

10

2

Stricture of Urethra

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Hydrophobia

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Glanders

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Order 3.—DIETIC.

Privation

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Want of Breast-milk

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Purpura and Scurvy

...

...

...

...

...

...

1

...

...

...

...

...

...

...

1

...

1

Alcoholism: Del. Tremens

...

...

...

...

...

2

...

...

1

...

...

...

...

...

5

3

2

Alcoholism: Intemperance

...

...

...

...

...

...

1

1

...

...

...

...

...

...

Order 4.—PARASITIC.

Thrush

2

...

...

1

...

1

...

...

...

...

...

...

...

2

4

2

2

Worms, &c.

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

187

89

95

40

24

26

13

13

10

8

3

1

...

371

509

424

85

II.  CONSTITUTIONAL DISEASES.

Order 1.—DIATHETIC.

Gout

...

...

...

...

...

...

...

...

1

2

...

...

...

...

3

3

...

Dropsy

...

...

1

1

...

1

1

2

...

1

2

...

...

1

9

7

2

Cancer

...

...

...

...

1

1

6

17

18

19

5

...

...

...

67

51

16

Cancrum Oris (Noma)

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Mortification

...

...

1

...

...

...

...

...

1

1

1

...

...

1

4

3

1

Order 2.—TUBERCULAR.

Scrofula

11

6

4

2

1

...

1

2

...

...

...

...

...

21

27

23

4

Tabes Mesenterica

33

15

5

...

...

...

...

...

...

...

...

...

...

53

53

45

8

Phthisis

1

7

8

25

46

56

50

35

12

6

...

...

...

16

246

200

46

Hydrocephalus and Tubercular Meningitis

24

18

25

12

1

2

...

...

...

...

...

...

...

67

82

67

15

69

46

44

40

49

60

58

56

32

29

8

...

...

159

491

399

92

III.  LOCAL DISEASES.

Order 1.—NERVOUS SYSTEM.

Cephalitis

1

...

...

3

...

1

...

1

...

...

...

...

...

1

6

6

...

Apoplexy

2

1

1

...

1

1

2

15

16

18

7

...

...

4

64

45

19

Paralysis

...

1

...

1

...

1

3

6

7

15

13

...

...

1

47

32

15

Insanity

...

...

...

...

1

1

...

...

...

2

...

...

...

...

4

4

...

Chorea

...

...

...

...

...

...

...

...

...

1

...

...

...

...

1

...

1

Epilepsy

1

...

1

...

...

2

4

2

2

1

...

...

...

2

13

9

4

Convulsions

47

8

4

...

...

...

...

...

...

...

...

...

...

59

59

50

9

Brain Disease, &c.

9

4

5

2

2

1

6

7

9

11

6

...

...

18

62

53

9

Order 2.—ORGANS OF CIRCULATION.

Pericarditis

...

...

2

...

1

...

1

...

1

...

...

...

...

2

5

5

...

Aneurism

...

...

...

...

...

1

3

2

...

1

...

...

...

...

7

6

1

Heart Disease, &c.

2

2

3

3

5

5

6

13

23

29

31

12

3

7

137

104

33

Order 3.—RESPIRATORY ORGANS.

Laryngitis

2

...

2

...

1

...

...

1

...

...

...

...

...

4

6

6

...

Bronchitis

91

25

10

3

3

6

13

19

32

53

48

5

1

126

309

258

51

Pleurisy

...

1

1

...

2

...

2

2

1

...

1

...

...

2

10

9

1

Pneumonia

55

20

19

3

4

14

13

18

11

13

5

1

...

94

176

150

26

Asthma

...

...

...

...

...

2

...

1

4

3

2

...

...

...

12

7

5

Lung disease, &c.

14

2

2

...

...

2

1

1

11

3

4

1

...

18

41

32

9

Order 4.—DIGESTIVE ORGANS.

Gastritis

...

...

...

...

1

...

...

...

...

1

...

...

...

...

2

1

1

Enteritis

7

1

...

1

1

3

1

1

2

2

...

...

...

8

19

16

3

Peritonitis

3

...

...

4

1

4

2

1

2

2

1

...

...

3

20

18

2

Ascites

...

...

...

...

...

...

...

1

2

...

...

...

...

...

2

1

1

Ulceration of Intestines

...

1

...

...

...

...

2

3

3

...

...

1

...

8

19

16

3

Hernia

...

...

...

...

...

...

...

...

...

1

...

...

...

3

20

18

2

Ileus

...

...

...

...

...

...

...

...

2

1

...

...

...

...

3

3

...

Intussusception

1

...

...

...

...

1

...

...

...

...

...

...

...

1

8

5

3

Stricture of Intestines

...

...

...

...

...

...

...

...

...

...

2

...

...

...

2

1

1

Fistula

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Stomach Disease, &c.

...

...

...

...

...

1

...

...

5

2

...

...

...

...

8

6

2

Pancreas Disease, &c.

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Hepatitis

...

...

...

1

...

1

1

1

...

...

...

...

...

...

5

4

1

Jaundice

3

...

...

...

...

...

...

3

...

...

...

...

...

3

7

6

1

Liver Disease, &c.

2

...

...

...

2

1

6

9

6

7

2

2

...

2

37

30

7

Spleen Disease, &c.

...

...

...

...

...

...

1

...

...

...

...

...

...

...

1

...

1

Order 5.—URINARY DISEASES.

Nephritis

...

...

1

...

...

1

1

...

...

...

...

...

...

1

3

2

1

Ischuria

...

...

...

...

...

...

...

1

...

...

...

...

...

...

1

...

1

Blight’s Disease (Nephria)

...

...

...

...

1

2

3

5

4

5

2

...

...

...

22

14

8

Diabetes

...

...

...

...

...

...

...

2

1

1

1

...

...

...

5

4

1

Calculus (Stone)

...

...

...

...

...

1

...

...

...

...

...

...

...

...

1

1

...

Cystitis

...

...

...

...

...

...

...

...

1

5

1

...

...

...

7

6

1

Kidney disease, &c.

...

...

...

...

1

...

3

3

3

1

1

...

...

...

12

10

2

Order 6.—ORGANS OF GENERATION.

Ovarian Dropsy

...

...

...

...

...

...

...

...

1

...

...

...

...

...

1

1

...

Uterus Disease, &c.

...

...

...

...

...

1

...

3

2

...

...

...

...

...

6

4

2

Order 7.—ORGAN OF LOCOMOTION.

Synovitis (Arthritis)

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Joint Disease, &c.

...

...

...

...

...

...

...

1

...

...

...

...

...

...

1

1

...

Order 8.—INTEGUMENTARY SYSTEM.

Phlegmon

2

...

1

...

...

1

...

1

1

1

...

...

...

3

7

7

...

Ulcer

...

...

...

...

...

...

1

...

...

1

...

...

...

...

2

2

...

Skin Disease, &c.

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

242

66

52

21

27

54

75

121

152

180

129

22

4

360

1145

921

224

IV.  DEVELOPMENTAL DISEASES.

Order 1.—DISEASES OF CHILDREN.

Premature Birth

46

...

...

...

...

...

...

...

...

...

...

...

...

46

46

35

11

Cyanosis

1

...

...

...

...

...

...

...

...

...

...

...

...

1

1

1

...

Spina Bifida

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Other Malformations

3

...

...

...

...

...

...

...

...

...

...

...

...

3

3

1

2

Teething

25

19

...

...

...

...

...

...

...

...

...

...

...

35

35

26

9

Order 2.—DISEASES OF ADULTS.

Paramenia

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Childbirth (see Puerperal fever)

...

...

...

...

4

6

4

...

...

...

...

...

...

...

14

11

3

Order 3.—DISEASES OF OLD PEOPLE.

Old Age

...

...

...

...

...

...

...

1

1

14

43

31

4

...

94

79

15

Order 4.—DISEASES OF NUTRITION.

Atrophy and Debility

153

6

4

...

...

...

...

...

...

...

...

...

...

163

163

143

20

228

16

4

„,

4

6

4

1

1

14

43

31

4

248

356

296

60

V.  VIOLENT DEATHS, &c.

Order 1.—ACCIDENT OR NEGLIGENCE.

Fractures and Contusions

1

...

...

1

1

2

...

2

2

1

...

...

...

1

10

10

...

Wounds

...

...

...

...

...

...

1

1

...

...

...

...

...

...

2

2

...

Burns and Scalds

...

...

1

...

...

...

...

...

...

...

...

...

...

1

1

1

...

Poison

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Drowning

1

...

1

2

...

...

...

...

...

...

...

...

...

2

4

3

1

Suffocation

17

...

...

...

...

...

...

...

...

...

...

...

...

17

17

15

2

Otherwise

...

...

...

1

...

...

...

...

...

...

...

...

...

...

1

...

1

Order 3.—HOMICIDE.

Murder and Manslaughter

4

...

...

...

...

...

...

...

...

...

...

...

...

4

4

2

2

Order 4.—SUICIDE.

Wounds: Gunshot, Cut, Stab

1

...

...

...

...

...

...

2

1

...

...

...

...

1

4

4

...

Poison

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Drowning

...

...

...

...

...

...

...

1

...

...

...

...

...

...

1

1

...

Hanging

...

...

...

...

...

...

...

1

1

...

...

...

...

...

2

2

...

Otherwise

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Order 5.—EXECUTION.

Hanging

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

...

Violent Deaths (not classed)

2

...

...

...

...

...

...

...

...

...

...

...

...

2

2

2

...

Sudden deaths (cause unascertained)

2

...

...

...

...

...

...

...

...

...

...

...

...

2

2

2

...

28

...

2

4

1

2

1

7

4

1

...

...

...

30

50

44

6

Causes not specified or ill defined

8

6

6

...

...

...

...

...

...

...

...

...

...

20

20

18

2