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13
SICKNESS.
vaccinations performed in the Borough during 1900 was 2,300, and in 1901 3,029; hut that
total does not include a number of children who, horn during the last four or five months of 1901,
will come into the supplementary return for the year, which will be issued after the middle of this
year. The provisional return for 1901, as given in the Vaccination Officer's Report for 1901, is as
follows which also gives the corresponding figures for 1900:—
1900.
1901.
Certificates of successful vaccination (primary) 2,300 3,029
Vaccination postponed 942 756
Certificates of" conscientious objection" 35 39
Eemovals 204 163
False addresses given when registering births 121 90
The Public Yaccinator for Old Paddington (St. Mary and St. John Registered Sub-Districts),
in his Report for the year, states that he performed 1,088 primary vaccinations, 412 of the persons
so vaccinated being over one year of age. lie also performed 2,595 re-vaccinations, as compared
with 30 in 1900. The Public Yaccinator for North-West Paddington performed 257 vaccinations
and re-vaccinations during the nine months, April to December.
SICKNESS.
The cases of infectious disease recorded in the Borough during 1901 numbered 1,111, being
370 in excess of the returns for 1900 (735), obtained by adding the notifications for the new area
to those for the old Parish. If the figures for 1901 be adjusted to the old area, the total
would be 940 compared with a total of 648 in 1900, showing an increase of 292, or 45 per
cent, (approximately). The notifications in the Metropolis totalled 40,444 in 1901, compared with
35,335 in 1900, an increase of 15 per cent, (approximately).
As appears from Table 15, there were increases in all diseases, except continued fever,* the
greatest increases being noted in the cases of diphtheria (increase 107 cases), scarlet fever
(increase 105 cases), and enteric fever (increase 26 cases). In the Metropolis the greatest increase
was that in the number of cases of scai'let fever (4,602 cases), that of small-pox (1,617 cases)
coming next, while there was a notable diminution, amounting to 1,112 cases, in the recorded cases
of enteric fever.
The notifications recorded in the adjacent districts during the year aro given in Table 16, from
which it appears that with the exception cf Willesden, where the rate was 9.37 per 1,000, the total
notification rate (7.70) for the Borough was the highest of the six, that of Marylebone (7.54)
being, however, hut little less. The changes which havo been effected in somo of the areas render
comparisons with former years almost valueless, unless a considerable amount of time and labour
be devoted to adjusting the various returns to the new boundaries.
A comparison of the returns from the three Registration Sub-Districts forming the Borough
during 1901 with tjie averages for the preceding decennium has been thought preferable to one
limited to the whole area. This has been done in Table 17.
St. Mary's Sub-District.—The notifications of small-pox (increase 7 cases) and of enteric fever
(increase 17 cases), during 1901 were the exceptions to the general decrease from the averages.
The decrease of 20 cases in the notifications of diphtheria was, under the circumstances, specially
satisfactory.
St. John's Sub-District.—The cases of small-pox (increase 2) and of diphtheria (increase 4)
were the exceptions to the general decline.
North-West Paddington.—The notifications of diphtheria were 58 in excess of the average,
those of enteric fever 2 in excess, but of all other diseases below the respective averages.
Metropolis.—There was an increased prevalence of small-pox (1,092 increase), of diphtheria
* The notifications of typhus fever in 1900 may be ignored, as an error of diagnosis was made in each instance.