London's Pulse: Medical Officer of Health reports 1848-1972

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Kensington 1903

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 endedNo. 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 31181,03213869-372,019
March 283298925837-311,851
February 2812944108571261,756
April 2531851247941191,698
May 23271,09425934-371,759
June 2017913167501231,649
July 18371,050379714261,710
August 15461,022388973311,758
September 122893621865-291,772
October 10211,133211,0291231,881
November 724969188403331,854
December 51782713694261,715
January 2, 19042077616697211,632
33012,53627711,03414362

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 endedNo. 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 25351,412291,1504552,658
February 22301,220279821512,406
March 22281,235181,0164362,185
April 19301,168251,0111412,155
May 17341,266281,0674432,207
June 14221,388171,191432,347
July 12301,360281,181402,352
August 9201,599181,408462,591
September 6261,411241,2271452,713
October 4351,545331,3642382,749
November 1381,721321,4622432,869
November 29181,482161,242302,761
January 3, 1908 (five weeks)261,439161,2132522,378
37218,24631115,51421563

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.