Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
The annual report on the health, sanitary condition, etc., etc., of the Royal Borough of Kensington for the year 1903
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The information as to scarlet fever mortality in the borough—1856-1903—set out in
Appendix II. (Tables B, C, D, pp. 110-111) shows the large reduction which has taken place in
recent years.
The deaths in London, as a whole, were 362 (the lowest total on record), compared with 365,
584 and 563, in the three preceding years, the corrected decennial average being 785. Of the 362
deaths 336 or 92·8 per cent. occurred in public institutions. The notified cases were 12,536,
compared with 13,809, 18,390 and 18,258, in the three preceding years. The mortality was 2·9 per
cent. on cases notified, against 2·6, 3·2 and 3·1 in the three preceding years. The admissions to
hospitals were 10,580 (against 10,734, 14,159 and 14,883, in the three preceding years), or about 84·3
per cent. of cases notified. At the close of the year there were 1,632 cases under treatment in the
hospitals, compared with 2,460, 3,080 and 2,327, at the corresponding period in the three preceding
years. The case-mortality in hospitals was 3·1 per cent.
The subjoined table shows the degree of prevalence of scarlet fever in the Borough, and in
London, as a whole, as indicated by the number of notifications, and of deaths registered, in thirteen
successive four-weekly periods, as set out in my reports:—
Scarlet Fever in 1903.
Report for four weeks ended | No. of Notifications. | No. of cases admitted to Hospitals. | No. of Deaths. | No. of cases in Hospital at the end of the period. | |||
---|---|---|---|---|---|---|---|
Kensington. | London. | Kensington. | London. | Kensington. | London. | ||
January 31 | 18 | 1,032 | 13 | 869 | - | 37 | 2,019 |
March 28 | 32 | 989 | 25 | 837 | - | 31 | 1,851 |
February 28 | 12 | 944 | 10 | 857 | 1 | 26 | 1,756 |
April 25 | 31 | 851 | 24 | 794 | 1 | 19 | 1,698 |
May 23 | 27 | 1,094 | 25 | 934 | - | 37 | 1,759 |
June 20 | 17 | 913 | 16 | 750 | 1 | 23 | 1,649 |
July 18 | 37 | 1,050 | 37 | 971 | 4 | 26 | 1,710 |
August 15 | 46 | 1,022 | 38 | 897 | 3 | 31 | 1,758 |
September 12 | 28 | 936 | 21 | 865 | - | 29 | 1,772 |
October 10 | 21 | 1,133 | 21 | 1,029 | 1 | 23 | 1,881 |
November 7 | 24 | 969 | 18 | 840 | 3 | 33 | 1,854 |
December 5 | 17 | 827 | 13 | 694 | — | 26 | 1,715 |
January 2, 1904 | 20 | 776 | 16 | 697 | — | 21 | 1,632 |
330 | 12,536 | 277 | 11,034 | 14 | 362 |
For the sake of comparison, I subjoin the corresponding table for 1902, taken from the
report for that year.
Scarlet Fever in 1902.
Report for four weeks ended | No. of Notifications. | No. of cases admitted to Hospitals. | No. of Deaths. | No. of cases in Hospital at the end of the period. | |||||
---|---|---|---|---|---|---|---|---|---|
Kensington. | London. | Kensington. | London. | Kensington. | London. | ||||
January 25 | 35 | 1,412 | 29 | 1,150 | 4 | 55 | 2,658 | ||
February 22 | 30 | 1,220 | 27 | 982 | 1 | 51 | 2,406 | ||
March 22 | 28 | 1,235 | 18 | 1,016 | 4 | 36 | 2,185 | ||
April 19 | 30 | 1,168 | 25 | 1,011 | 1 | 41 | 2,155 | ||
May 17 | 34 | 1,266 | 28 | 1,067 | 4 | 43 | 2,207 | ||
June 14 | 22 | 1,388 | 17 | 1,191 | — | 43 | 2,347 | ||
July 12 | 30 | 1,360 | 28 | 1,181 | — | 40 | 2,352 | ||
August 9 | 20 | 1,599 | 18 | 1,408 | — | 46 | 2,591 | ||
September 6 | 26 | 1,411 | 24 | 1,227 | 1 | 45 | 2,713 | ||
October 4 | 35 | 1,545 | 33 | 1,364 | 2 | 38 | 2,749 | ||
November 1 | 38 | 1,721 | 32 | 1,462 | 2 | 43 | 2,869 | ||
November 29 | 18 | 1,482 | 16 | 1,242 | — | 30 | 2,761 | ||
January 3, 1908 (five weeks) | 26 | 1,439 | 16 | 1,213 | 2 | 52 | 2,378 | ||
372 | 18,246 | 311 | 15,514 | 21 | 563 |
Note.— Correction has not been made in the above tables for errors in diagnosis, either with respect to notifications,
or admissions to hospital. The notifications are taken from the weekly returns of the Asylums Board; the admissions
to, and numbers in, the hospitals, and the deaths in London, from the weekly returns of the Registrar-General.