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

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Willesden 1954

[Report of the Medical Officer of Health for Willesden]

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10
PREVALENCE AND CONTROL OF INFECTIOUS AND OTHER DISEASES
The declining incidence and mortality of infectious diseases such as diphtheria, scarlet fever
measles, whooping cough and typhoid fever in the past 50 years is not so much a reflection of better treatment
as of improving living standards. Better housing and better nutrition, improved ventilation, and smaller
families, have helped to increase resistance and reduce the possibilities of spread of infection. Health
visitors and sanitary inspectors have played an invaluable role in health education and in improving hygiene.

Notifiable Infectious Diseases

Cases notified (confirmed in brackets)
19501951195219531954
Diphtheria15(1)12(1)14(1)8(1)5(2)
Scarlet fever317(306)211(204)262(249)217(210)182(177)
Pneumonia164(150)172(161)126(113)228(208)102(97)
Whooping cough ......650(648)550(543)330(328)453(450)295(295)
Erysipelas29(26)31(30)27(27)22(21)13(12)
Measles ............2280;2255)1937(1927)1528(1520)2392(2383)126(124)

Diphtheria
A boy of 5 years and a woman of 27 years, two of the five cases of diphtheria notified in 1954,
were confirmed; they were unimmunised.
Measles
126 cases were notified in 1954 (124 confirmed). There were no deaths from measles during the
year.
Whooping Cough
295 cases were notified and confirmed, with one death in a child of three months.
The incidence of whooping cough was the lowest of the last five years, but the reduction cannot
be attributed to whooping cough vaccination (see report for 1953).
Pneumonia and Influenza
102 cases of pneumonia were notified (97 confirmed). There were 60 deaths from bronchopneumonia,
lobar pneumonia and pneumonia (unspecified), and 4 deaths from influenza.

Whooping Cough Cases and Deaths : Willesden and England and Wales

YearPopulationChild population (estimated)Number of cases confirmedNo. of deathsCase rate per 1,000 populationDeath rate per 1,000 populationNo of children vaccinatein Willesder
0—45—15WillesdenEngland & WalesWillesdenEngland & WalesWillesdenEngland & WalesWillesdenEngland & Wales
1940152,030--8253,6072678.541.34.01.02-
1941127,230--505173,330523833.974.47.04.06
1942138,60010,00015,50046066,01647993.321.73.03.02
1943144,43010,42417,48023896,136311141.652.54.02.03
1944139,51011,44017,74040194,044410542.872.49.03.03
1945161,95412,46018,43021562,69136891.331.64.02.02
1946170,55013,19120,38937792,93648082.212.29.02.02
1947175,90015,10720,83057192,68269053.252.22.03.02
1948179,90015,54420,663423146,41027482.353.42.01.02
1949181,12015,27021,430205102,8165271.132.39Nil.011615
1950181,70014,93022,410648157,78123943.573.60.01.01822
1951179,64713,84722,995543169,4414563.023.7Nil.011163
1952180,40013,84624,000328114,86911841.822.1.00.00946
1953178,50013,45524,000450157,842-2432.523.8Nil.011,333
1954177,30013,11023,857295105,90111301.662.9.006.0021,198