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 1914
[Report of the Medical Officer of Health for St. Pancras, London, Borough of]
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| Year. | Number of Notifications. | Notification Rate per 1,000 Population. | No. of Deaths. | Death Rate per 1,000 Population. | Case-mortality per cent. |
|---|---|---|---|---|---|
| 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 (0.12) | 6 | 0.03 | 14.6 (23.0) |
| 1914 | 44 (27) | 0.20 (0.12) | 4 | 0.02 | 9.0 (14.8) |
The figures in brackets are corrected for errors of diagnosis. The other figures are not corrected.
Other statistical facts in regard to the disease will be found on pp. 26-29.
The 1914 (uncorrected) notification rate of typhoid fever in the County of
London was 0.17 per 1,000 population, and the death rate from the disease
0.03 per 1,000 population.
The 44 persons notified were treated as follows:—
| Cases notified. | Not Typhoid. | Diagnosis not contradicted. | |
|---|---|---|---|
| In hospitals of the M.A.B. | 25 | 13 | 12 |
| In other public hospitals | 15 | 4 | 11 |
| In their own homes | 4 | 0 | 4 |
| 44 | 17 | 27 |
Thus more than half of the cases admitted to the Metropolitan Asylums'
Boards' Hospitals were returned as not true cases of the disease. Probably some
of the cases treated elsewhere and finally included as true cases were not so,
the information under these circumstances being less complete.
Inquiries were made as to possible sources of infection in all cases notified,
with the following results:—
(a) In 2 of the 27 cases the infection was definitely contracted out of
St. Pancras.
1. Arrived from Toronto already ill.
2. Developed typhoid fever three days after 23 days' "hopping" near
Faversham, Kent.
(b) Three cases (in 3 houses) followed upon cases in the same families at
intervals which suggested that they were secondary to the earlier
cases.
(c) One was a hospital nurse who had been nursing a case of typhoid
fever, and another was a nurse in a hospital where such cases were
under treatment, although not by her.