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The above Table indicates, in the case of Chelsea, where comparatively
small figures are being dealt with, that there are annual
fluctuations, which are probably of a more or less accidental nature.
In London as a whole, the case mortality figures of scarlet fever and
diphtheria are about equal to the averages of recent years, whilst that of
enteric fever is slightly higher.
Prevalence of Scarlet Fever, Diphtheria, and Enteric Fever, in
West London Boroughs.
The following Table is based upon the notified cases of scarlet
fever, diphtheria and membranous croup, and enteric fever, respectively,
in each of the six boroughs, constituting West London, the rates being
calculated upon the estimated population of each borough for the
year 1908.
Table XIX.—Notifications per 10,000 of Population in 1908.
Scarlet Fever.
Diphtheria.
Enteric Fever.
Chelsea
22.8
18.1
2.2
Kensington
24.0
12.6
2.0
Paddington
45.2
9.9
2.1
Hammersmith
31.8
16.5
2.5
Fulham
34.7
23.3
2.3
Westminster
36.8
10.9
2.4
West London
33.2
15.0
2.2
London
46.0
16.7
2.8
The above Table shows that scarlet fever was most prevalent in
Paddington, and least prevalent in Chelsea, of the Western Boroughs in
1008. As usual, diphtheria showed the greatest prevalence in Fulham,
but to a much less extent than in 1907. The enteric fever prevalence
in the Western Boroughs was slightly less than that of London as a whole.
As in 1907, the prevalence of scarlet fever in the Western Boroughs,
in 1908, was considerably less than in the Eastern and Southern districts
of the Metropolis. As also in 1907, the greatest prevalence was in
Stepney, where the case-rate for the year is 76 per 10,000 of the population,
or more than treble the Chelsea case-rate.
Removals to Hospitals.—Table XVIII. exhibits the removals of
patients suffering from scarlet fever, diphtheria, and enteric fever, to
the M.A.B. and other hospitals, in each of the 19 years, 1890—1908,
expressed as percentages of the total number of cases of each disease
notified.