London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Paddington 1910
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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38
WHOOPING COUGH.
There were 35 deaths ascribed to this cause, one fewer than in the previous year, equal
to a fatality of 6.7 per cent., as compared with 6.4 in 1909. The deaths of males (22) were
more numerous than in 1909 (17), those of females (13) less so (19). The fatality among
males last year (9.4) has been exceeded once only, viz., in 1905 when it was 9.6, while that
among females (4.6) was, with the exception of the rate for 1908 (4.3), the lowest observed.
Whooping Cough. Fatality per 100 cases.
| 1904. | 1905. | 1906. | 1907. | 1908. | 1909. | 1910. | |
|---|---|---|---|---|---|---|---|
| Males | 8.0 | 9.6 | 8.3 | 9.2 | 8.8 | 6.4 | 9.4 |
| Females | 8.3 | 10.2 | 6.9 | 7.8 | 4.3 | 6.3 | 4.6 |
| Persons | 8.1 | 9.9 | 7.6 | 8.4 | 6.5 | 6.4 | 6.7 |
The sex-age fatalities (Table 29) show considerable increases in rates among males
under two years, all other rates being (generally) lower. As regards Ward distribution
(Table 30) it is felt that not much reliance can be placed on the returns from the three
southern Wards. In the other Wards higher fatalities were recorded during the past year in
Queen's Park, Harrow Road, Maida Vale and Church.
The connection between time distribution and fatality is not so well shown in the case of this disease as in that of Measles.
(See below).
The connection between time distribution and fatality is not so well shown in the case of this disease as in that of Measles. (See
| Year. | Quarters. | Quarters. | per 100 cases. |
|---|---|---|---|
| 1904 | 62.6 | 37.2 | 8.1 |
| 1905 | 48.5 | 51.3 | 9.2 |
| 1906 | 47.6 | 52.2 | 7.6 |
| 1907 | 38.5 | 61.3 | 8.4 |
| 1908 | 40.2 | 59.6 | 6.4 |
| 1909 | 46.0 | 53.9 | 6.4 |
| 1910 | 49.4 | 50.5 | 6.7 |
The mortality last year was 0.23 per 1,000 persons, the same as in 1909, and 0.02 above the quinquennial mean rate (0.21). The figures for the 20 years 1891-1910 given below are., interesting in themselves and in comparison with those given on page 35.
| D. | M. | D. | M. | D. | M. | D. | M. | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891 | 81 | 0.59 | 1896 | 63 | 0.44 | 1901 | 51 | 0.35 | 1906 | 13 | 0.09 |
| 1892 | 44 | 0.32 | 1897 . | 55 | 0.39 | 1902 . | 22 | 0.14 | 1907 | 50 | 0.33 |
| 1893 | 74 | 0.53 | 1898 . | 50 | 0.35 | 1903 . | 53 | 0.36 | 1907 | 11 | 0.07 |
| 1894 | 53 | 0.38 | 1899 . | 53 | 0.37 | 1904 . | 16 | 0.11 | 1909 | 36 | 0.23 |
| 1895 | 35 | 0.25 | 1900 . | 38 | 0.26 | 1905 . | 50 | 0.33 | 1910 | 35 | 0.23 |
| D— | Deaths. | M. | —Mortality per 1,000 persons. | ||||||||
The quinquennial and decennial mean rates show a continuous decrease, as also do the maxima and minima (with one exception).
| Mean rate. | Maximum. | Minimum. | |
|---|---|---|---|
| 1891-1895 | 0.41 | 0.59 | 0.25 |
| 1896-1900 | 0.36 | 0.44 | 0.26 |
| 1901-1905 | 0.26 | 0.35 | 0.11 |
| 1906-1910 | 0.19 | 0.23 | 0.07 |
| 1891-1900 | 0.39 | 0.59 | 0.25 |
| 1901-1910 | 0.22 | 0.35 | 0.07 |
Supervision over this disease was undertaken at the same date as was that over measles,
viz., in 1903. The mortality from whooping cough does not show, so far, any change