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

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Paddington 1894

Report on vital statistics and sanitary work for the year 1894

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46
unvaccinated, i.e., there were no marks present. Of
all the patients admitted, 71.3 were vaccinated, and
22.5 unvaccinated.
The deaths from this disease numbered 102,
including 2 deaths among patients admitted in 1893.
The deceased persons included 38 who were vaccinated,
8, in respect of whose vaccination there was "no
evidence," and 56 were unvaccinated. The mortality
among the vaccinated was 4.5, among those with
"no evidence," 11.2, and among the unvaccinated,
19-9 per cent.
Since the date of the opening of the Board's
Hospitals, 62,150 cases of small-pox have been
admitted with a case mortality of 16.7. During the
23 years preceding the opening of the Hospitals,
i.e., from 1848-70, the average annual mortality
per 1,000 of the estimated population of London
was 0.29, and that of the subsequent 23 years, i.e.,
from 1872-94, 0.16.
In his Report to the Board, Dr. Ricketts remarks,
that whereas the outbreak of this disease in 1893
was, in the earlier part of the year, chiefly among
the vagrant class, towards the end of that year, and
in 1894, it was confined to the "poorer settled"
population. The Report contains particulars of
several small outbreaks of the disease in different
Unions of London during the year, of which that in
Marylebone is perhaps the most interesting. On
the 23rd of July four cases were removed; on the