X1000306-1962-63_Part01 — Page 19

TABLE 4

SPECIFIC MORTALITY RATES OF SOME NOTIFIABLE INFECTIOUS DISEASES 1962

Dispara

1

4

Propor-

JURIJI

AUTOR ACUPU

Spolic death rates per 10P.WE

Cari

Deerka

Case Fatality

100 deaths

from all

Cholera Amoebiasis

+

9.09

0.005

0.009

195

Y

4.62

0.044

0.264

Dysentery

Bacillary

789

Unspecified

1.64

0.64

0.391

4

Lateric Fever

Typhoid

772

19

2.30

| Paratyphoid

54

5.55

Poliomyelitis

363

52

14.33

Cerebrospinul Meningitis

50

35

70.00

Diphtheria

1,022

102

Mcasica

2,317

326

0.528 0.015 0.038 0.256 1.525 0.172 1.026 9.98 0.502 14.07 1.604

0.039

2,991

Puerperal Fever

2

Tuberculosis

14.263

1,861

100.00 0.010 13.19 9.25.5

9.561 0.058 $5.166

Notes: 1. Totul deaths from 1.1.62 to 31.12.62 were 20,324. 2. Estimated population for mid-1962 was 3,409,700.

TUBERCULOSIS

124. Mention has already been made of the visit of Professor F. HEAF, C.M.G., the Adviser on Tuberculosis to the Secretary of State for the Colonies and of Dr. Wallace Fox of the Medical Research Council Tuberculosis Research Unit in London. The pattern for the existing Government Tuberculosis Service was determined in 1952 and a review of the organization which has developed over the past 10 years for the control of tuberculosis and the results of that policy was timely. The Report submitted and the recommendations made are still under con- sideration by Government.

125. Broadly speaking, the policy has been to protect those most vulnerable to the fatal post-primary manifestations of the disease by vaccination with B.C.G., to provide outpatient facilities for the ambula- tory treatment of as many tuberculosis patients as possible and to reserve the limited hospital accommodation for the care and treatment of those patients not responding to ambulatory treatment or in need of surgical operations to hasten recovery. With the magnitude of the problem pre- sented by an incidence of active disease of 2% of the adult population it has been physically and financially impossible to provide institutional care of the order entailed if all infectious cases were to be isolated.

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126. The measurements that can be applied to assess the results of this policy have been largely in connexion with mortality rates. The total morbidity and the pattern of morbidity have not yet been detailed and will not be until a scientifically based investigation can be carried out on a comprehensive scale. However, certain morbidity trends are emerging which indicate a pronounced shift in the distribution of the disease within the various age groups affected. In short, the youngest age groups now show a definite response to the preventive measures applied, while morbidity and mortality are heaviest in the adult popula- tion. Accordingly, while the general incidence of the disease remains about the same level, the heaviest morbidity and the categories of dis- ease most resistant to treatment tend to be concentrated in the age group of 45 years and above. That this is a legacy of the influx of refugees some twelve years ago, who are living longer with well estab- lished fibro-caeous disease, which is partially or wholly resistant to treatment with first line drugs, there seems to be no doubt.

Tuberculosis Mortality

127. The number of deaths recorded from all forms of tuberculosis during 1962 was 1,881 compared to 1,907 in 1961 although the deaths recorded from all pulmonary manifestations of the disease actually increased from 1,592 in 1961 to 1,654 in 1962. The mortality rate has nevertheless continued its downward trend and there has again been a substantial fall in the percentage of tuberculosis deaths under the age of five years related to the total tuberculosis deaths.

TABLE 5

DEATH RATES FROM TUBERCULosis 1952-62

Percentage of Juberculosis deaths below 5 years

Year

Papwution

Deart rate per 100,000

TUBERCULOSIS

Percentage of Total deaths

1952

2,250.000

E58.8

19.4

34.3

1953

2,250,000

130.6

16.0

36.2

1954

1,277,000

126.3

14.9

31.2

1955

1,340,000

120.0

14.7

23.0

1956

2,440,000

107.0

13.6

2.5.0

1957

2,583,000

101.6

13.9

21,2

1958

2,748.000

83.8

11.2

19.6

1959

2,857,000

76.2

10.7

19.1

1960

2,981,000

69,9

10.9

10.5

1961

3,177,700

60.0

10.2

JL.J

1962

3,400,300

35.3

9.35

5.74

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