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

London County Council 1908

[Report of the Medical Officer of Health for London County Council]

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30
It will be seen from the foregoing table that the scarlet fever death-rate was, in the period
1903-7, highest in Bermondsey and Bethnal Green (0.19) and lowest in Hampstead and Holborn
(0.05); in the year 1908, Bethnal-green (0.30) had the highest death-rate, and Westminster (0.04) the
lowest, while in the City of London no deaths occurred. The scarlet fever death-rates obtaining in
London in the four quarters of the year 1908 were as follows: first quarter, 0.16; second quarter,
0.10; third quarter, 0 09; and fourth quarter, 0.11 per 1,000 persons living.
Scarlet Fever—Age and sex distribution.
The following table shows the notified cases, deaths, case-rates, death-rates, and fatality of
scarlet fever at the several ages and for each sex in London during the year 1908. It will be seen that
at "all ages" the case-rate was higher among females than among males, while the death-rate and fatality
were higher among the latter. In the age groups adopted for the purposes of this table the greatest
incidence of attack was upon both males and females of four years of age. The greatest incidence of
death was upon males of three and females of one and two years of age.

Table: Scarlet Fever1 - 1908.

Scarlet Fever1 - 1908.

Age-period.Males.Females.
Notified cases.Deaths.Case-mortality per cent.Rates per 100,000 living.Notified cases.Deaths.Case-mortality per cent.Rates per 100,000 living.
Cases.Deaths.Cases.Deaths.
All Ages10,3922812.74511211,6802722.345411
0-134129.022620131118.422319
3 -4292865819533494011.566676
2-700436.11,32381654406.11,24176
3-925525.61,795101904394.31,73375
4-1,110383.42,201751,131332.92,25466
5-4,327661.51,828284,921731.52,05931
10-1,653181.174082,022160.88867
15-5111020228456150.92242
20-27541.5118245251.11612
25-23752159140671.7861
35-6234.821111532.6341
45-2428.311124--10-
55 & upwards5--2-10--4-

Table: With a view to ascertaining whether the age incidence of notified cases of scarlet fever has undergone variation in recent years, the following tables have been prepared. When the corrected case-rates of 1906-8 are compared with those of 1893-5 the figures show that ages 3-, 4- and 5- in males, and ages 4-, 5- and 20- in females, have not exhibited the decline shown at the other ages:-Scarlet fever. Case-rates per 100,000 living at certain ages, 1893-1908.

With a view to ascertaining whether the age incidence of notified cases of scarlet fever has undergone variation in recent years, the following tables have been prepared. When the corrected case-rates of 1906-8 are compared with those of 1893-5 the figures show that ages 3-, 4- and 5- in males, and ages 4-, 5- and 20- in females, have not exhibited the decline shown at the other ages:-

Scarlet fever. Case-rates per 100,000 living at certain ages, 1893-1908.

Period.0-1-2-3-4-5-10-15-20-25-35-45-55+All ages.
1893-53851,0091,6022,1152,3082,0009853821648229114584
1896-19002547311,2521,7561,9141,488707278126592193436
1901-52146711,1891,5961,8311,368538213114481652360
1906-82318551,3952,0112,3431,900755247127622181474

Table: Females.

Females.

Period.0-1-2-3-4-5-10-15-20-25-35-45-55 +All ages.
1893-53469591,5532,0992,4272,1891,09535117610339135571
1896-19002236901,2091,7301,9721,6958242371377628931432
1901-51726101,1221,6111,8701,522608198124661982352
1906-82037401,3861,9342,3742,162919240165882983478

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In the preparation of this table the rates and percentages are calculated on the number of cases notified in
London, and the number of deaths occurring in London and the institutions belonging to London.