Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Annual report of the Council, 1914 Vol. III public health...
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15
Report of the County Medical Officer—General.
The following table shows the scarlet fever cases, deaths, case-rates, and death-rates for the year 1914 and the case-rates and death-rates for the period 1909-13 in the several sanitary districts.
| Metropolitan borough. | Notified cases, 1914 (52 weeks). | Case-rate per 1,000 persons living. | Deaths, 1914 (52 weeks) | Death-rate per 1,000 persons living. | ||
|---|---|---|---|---|---|---|
| 1909-13. | 1914. | 1909-13. | 1914. | |||
| Paddington | 743 | 2.63 | 5.24 | 8 | 0.05 | 0.06 |
| Kensington | 962 | 2.06 | 5.63 | 17 | 0.02 | 0.10 |
| Hammersmith | 977 | 3.01 | 7.91 | 5 | 0.06 | 0.04 |
| Fulham | 1,044 | 3.25 | 6.66 | 21 | 0.04 | 0.13 |
| Chelsea | 272 | 2.72 | 4.23 | 5 | 0.04 | 0.08 |
| Westminster, City of | 850 | 2.14 | 5.52 | 10 | 0.05 | 0.06 |
| St. Marylebone | 434 | 2.84 | 3.81 | 9 | 0.07 | 0.08 |
| Hampstead | 281 | 1.98 | 3.26 | 2 | 0.03 | 0.02 |
| St. Pancras | 1,210 | 2.80 | 5.67 | 18 | 0.05 | 0.08 |
| Islington | 1,851 | 3.02 | 5.70 | 24 | 0.05 | 0.07 |
| Stoke Newington | 264 | 1.94 | 5.24 | 3 | 0.03 | 0.06 |
| Hackney | 806 | 2.81 | 3.62 | 9 | 0.04 | 0.04 |
| Holborn | 172 | 2.16 | 3.68 | 2 | 0.02 | 0.04 |
| Finsbury | 449 | 2.32 | 5.33 | 6 | 0.07 | 0.07 |
| London, City of | 85 | 1.66 | 4.78 | 1 | 0.03 | 0.06 |
| Shoreditch | 424 | 2.34 | 3.88 | 5 | 0.05 | 0.05 |
| Bethnal Green | 654 | 2.71 | 5.13 | 7 | 0.07 | 0.05 |
| Stepney | 2,090 | 2.72 | 7.62 | 28 | 0.05 | 0.10 |
| Poplar | 663 | 3.26 | 4.13 | 10 | 0.07 | 0.06 |
| Southwark | 1,447 | 2.99 | 7.70 | 22 | 0.05 | 0.12 |
| Bermondsey | 582 | 3.61 | 4.68 | 8 | 0.07 | 0.06 |
| Lambeth | 1,756 | 3.24 | 5.93 | 16 | 0.05 | 0.05 |
| Battersea | 996 | 3.56 | 5.96 | 11 | 0.04 | 0.07 |
| Wandsworth | 1,412 | 2.78 | 4.27 | 13 | 0.04 | 0.04 |
| Camberwell | 1,541 | 3.02 | 5.90 | 23 | 0.04 | 0.09 |
| Deptford | 863 | 3.79 | 7.92 | 9 | 0.06 | 0.08 |
| Greenwich | 555 | 3.41 | 5.80 | 7 | 0.05 | 0.07 |
| Lewisham | 955 | 3.67 | 5.66 | 8 | 0.05 | 0.05 |
| Woolwich | 706 | 5.23 | 5.78 | 9 | 0.08 | 0.07 |
| Port of London | 4 | |||||
| London | 25,048 | 2.96 | 5.56 | 316 | 0.05 | 0.07 |
Scarlet Fever
in London
boroughs.
It will be seen from the foregoing table that in the period 1909-13 the scarlet fever death-rate
was highest in Woolwich (0 08), and lowest in Kensington and Holborn (0.02); in the year 1914 Fulham
(0.13) had the highest death-rate, and Hampstead (0.02) the lowest. The scarlet fever death-rates in
London in each of the four quarters of 1914 were as follows: first quarter 0.06; second quarter 0.06;
third quarter 0.06; and fourth quarter 0.10.
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 1914. It will be seen that
at "all ages" the case-rate was higher among females, while the fatality was higher among males.
In the age-groups adopted for the purposes of this table, the greatest incidence of attack was upon males and females aged 5-10 years; the greatest incidence of death was upon males and females aged 3—4; and the fatality was highest among males and females aged 0-2 years, if ages over 45 years be disregarded, the figures for one year being too small to afford representative rates.
| Age-period. | Males. | Females. | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Notified cases. 52 weeks. | Deaths. 365 days. | Case-mortality per cent. | Rates per 100,000 living. | Notified cases. 52 weeks. | Deaths. 365 days. | Case-mortality per cent. | Rates per 100,000 living. | |||
| Cases. | Deaths. | Cases. | Deaths. | |||||||
| 0— | 121 | 7 | 5.8 | 247 | 14 | 112 | 4 | 3.6 | 233 | 8 |
| 1— | 359 | 21 | 5.8 | 800 | 47 | 362 | 13 | 3.6 | 815 | 29 |
| 2— | 665 | 22 | 3.3 | 1,400 | 46 | 606 | 19 | 3.1 | 1,291 | 40 |
| 3— | 892 | 29 | 3.2 | 1,911 | 62 | 886 | 22 | 2.5 | 1,886 | 47 |
| 4— | 1,039 | 22 | 2.1 | 2,274 | 48 | 1,073 | 17 | 1.6 | 2,355 | 37 |
| 5— | 4,960 | 30 | 0.6 | 2,305 | 14 | 5,715 | 47 | 0.8 | 2,634 | 22 |
| 10— | 2,152 | 13 | 0.6 | 1,085 | 7 | 2,711 | 11 | 0.4 | 1,340 | 5 |
| 15— | 701 | 9 | 1.3 | 364 | 5 | 793 | 5 | 0.6 | 375 | 2 |
| 20— | 298 | 4 | 1.3 | 157 | 2 | 512 | 3 | 0.6 | 216 | 1 |
| 25— | 294 | 6 | 2.0 | 81 | 2 | 513 | 8 | 1.6 | 119 | 2 |
| 35— | 96 | 2 | 2.1 | 33 | 1 | 132 | 2 | 1.5 | 40 | 1 |
| 45— | 19 | 2 | 10.5 | 9 | 1 | 25 | - | - | 10 | — |
| 55 & upwards | 3 | - | — | 1 | — | 9 | 1 | 11.1 | 3 | 0 |
Scarlet fever
cases and
deaths by
age and sex
—London.