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
St Pancras 1913
[Report of the Medical Officer of Health for St. Pancras, London, Borough of]
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| Year. | N umber of Notifications. | Notification Rate per 1,000 Population, | No. of Deaths. | Death Rate per 1.000 Population. | Case-mortality per cent. |
|---|---|---|---|---|---|
| 1903 | 83 | 0.40 | 13 | 0.05 | 15.60 |
| 1904 | 135 | 0.57 | 17 | 0.07 | 12.60 |
| 1905 | 72 | 0.30 | 8 | 0.03 | 11.11 |
| 1906 | 96 | 0.40 | 13 | 0.05 | 13.54 |
| 1907 | 54 | 0.22 | 4 | 0.02 | 7.40 |
| 1908 | 60 | 0.25 | 10 | 0.04 | 16.67 |
| 1909 | 50 | 0.21 | 6 | 0.03 | 12.00 |
| 1910 | 61 | 0.26 | 4 | 0.02 | 6.56 |
| 1911 | 66 | 0.27 | 7 | 0.04 | 10.60 |
| 1912 | 29 | 0.13 | 2 | 0.01 | 6.89 |
| 1913 | 41 (26) | 0.18 (0.42) | 6 | 0.03 | 14.6 (23.0) |
The 40 persons notified were treated as follows:—
| Cases Notified. | Not Typhoid. | Diagnosis not contradicted. | |
|---|---|---|---|
| In hospitals of the M.A.B. | 28 | 13 | 15 |
| In other hospitals | 6 | — | 6 |
| In private nursing home | 2 | — | 2 |
| In their own homes | 4 | 1 | 3 |
| 40 | 14 | 26 |
The figures in brackets are corrected for errors of diagnosis. The other figures are not corrected.
Other statistical facts in reference to the notified cases of this disease will
be found on pages 23-26.
The 1913 (uncorrected) notification rate of typhoid fever for St. Pancras
was roughly equal to that of the whole of London.
It will be seen that a large majority of the cases were treated by the Metropolitan
Asylums Board. In all those 14 cases (except one) where the original
diagnosis of typhoid fever was contradicted, the revision of diagnosis was made
by the M.A.B.'s Medical Superintendents. Of the 28 cases removed to these
hospitals, as many as 13 (nearly half) proved to be "not typhoid."
Inquiries were made in all cases as to possible sources of infection, and
disinfection of the patients' bedding carried out after their removal or recovery.
(a) It was found that 6 of the 26 cases were imported:
1.— Became ill 10 days after landing in England from Sydney. There
was another case elsewhere from same ship.
2.—Landed in England from Sydney, already ill.
3.—Arrived in St. Pancras, already ill. Caught the disease in a Yorkshire
epidemic.
4.—Arrived in St. Pancras from Ilfracombe, already ill.
5.—Arrived in St. Pancras from Margate, already ill. (Oysters eaten
regularly in Margate for a month).
6.—Arrived in St. Pancras from Finsbury, already ill.