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

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St Pancras 1914

[Report of the Medical Officer of Health for St. Pancras, London, Borough of]

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61
This high mortality amongst tuberculous patients who have received sanatorium
benefit in the form of sanatorium or hospital treatment is very striking,
though it is to be noted that the 165 patients included advanced as well as early
cases when the treatment began in 1913.
It would be interesting to compare these results with the facts in regard to
those cases notified in 1913 who were not sent away for institutional
treatment. In fact, however, such a large number of these have been lost
sight of that the figures would have no value.
Bacteriological Examinations.—245 specimens of sputum from St. Pancras
patients have been examined for medical practitioners by the Lister Institute of
Proventive Medicine at the expense of the Borough. 83 of these were
reported as containing tubercle bacilli and 162 as negative.
SCARLET FEVER,
1,207 St. Pancras patients were notified during 1914 as suffering from
scarlet fever. This figure includes St. Pancras cases wrongly notified to
medical officers of health of other authorities and transmitted to St. Pancras,
and excludes 61 cases notified to this authority but belonging to other
districts.
Of the 1,207 cases notified, 27 were afterwards found not to be suffering
from scarlet fever, all by the Medical Superintendents of the Metropolitan
Asylums Board Hospitals.
This gives the net number of cases of scarlet fever notified during the year
as 1,180, equal to an incidence rate of 5.40 per 1,000 population. The
number of deaths from scarlet fever certified during the year was 19, equal
to a death-rate of 0.09 per 1,000 population, and a case mortality of 1.61
per cent. of cases notified.

Other statistical facts in regard to the disease will be found at pp. 26-29. In the following table are set out the number of cases of scarlet fever notified, the number of deaths, and the corresponding rates during the past 10 years:—

Year.Number of Notifications.Notification rate per 1000 Population.Number of Deaths.Death-Rate per 1000 Population.Percentage of Cases Removed.Case-Mortality per Cent.
19048403.54270.11943.22
19059874.16270.11952.74
19067913.34320.13944.05
19078513.59260.11913.06
19089574.04200.08932.09
19097743.26170.07972.20
19106812.87170.07962.49
19114451.88100.04952.24
19125982.7150.02970.08
1913568 (536)2.55 (2.41)60.03941.06 (1.12)
19141207 (1180)5.53 (5.40)190.09911.57 (1.61)

The figures in brackets are corrected for errors of diagnosis. The other figures are not corrected.