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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

Paddington 1903

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

Published
1904
Author
Dudfield, Reginald.
Pages
182
Tables
111

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111 tables in this report

  • Page 1
    TABLE 1. Estimated Population. 1903.
    BoroughMales 62,483Persons 145,927
    Females 83,144
    Registration Sub-DistrictsPersons.Wards.Persons.
  • Page 2
    TABLE 2. Meteorological Elements.
    Month.Means at 9 a.m.Extreme Temperatures.Rain.Sunshine.
    Barometer reduced to sea levelThermometer.Shade.Max in Sun.Min. on Grass.Depth of Inches.No. of Days.Number of Hours.Number of Days
    Dry Bulb.Wet Bulb.Maximum.Minimum.
  • Page 3
    TABLE 3. Births and Birth-Rates. 1903. Paddington.
    Births registered.Borough.Registration Sub-Districts.
    St. Mary.St. John.North-West Paddington
  • Page 5
    TABLE 4. Births and Birth-Rates. 1003.
    Birth-rates.
    Births Registered.Per 1,000 persons at all ages.Per 1,000 females aged 15-45 years.
  • Page 5
    TABLE 5. Illegitimate Births. Registration Sub-Districts.
    BoroughSt. MarySt. JohnNorth-West Paddington.
  • Page 6
    TABLE 6. Notifications and Notification-Rates, 1903 and 1902.
    Paddington.London*Notification Ratesf
    19031902Differences. Increase ( + ) Decrease (—)19031902Differences. Increase (+) Decrease (—)Borough.London.
    1903190219031902
  • Page 7
    TABLE 7. Notifications, 1903 From Registrar-General's Quarterly Reports.
    Pad- dinc.ton.*London, fKensington.Westminster.Mary-lebone.Hamp- stead.Willesden
  • Page 7
    TABLE 8. Morbidity Rates, 1903. Per 1,000 persons of all ages. Based on figures given in Table 7.
    Paddington.London.Kensington.Westminster.Marylebone.Hamp stead.Willesden.
  • Page 7
    As regards the local returns, it is seen from Table 9 that the numbers of cases recorded last year in the various Wards were, with the following exceptions, lower than those for 1902—
    Cases reported.
    Disease.Ward.1903.1902.
  • Page 8
    TABLE 9. Notifications distributed according to Wards, 1903. Figures for 1902 in ( ).
    Queen's Park.*Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate.Hyde. Park.
    West.East.
  • Page 8
    TABLE 10. Notifications.
  • Page 9
    TABLE 11.
    Ages.Small pox.Diphtheria.Membranous Croup.Erysipelas.Fevers.
    Scarlet.Enteric.Continued.Puerperal.
  • Page 11
    TABLE 12. Deaths and Death-rates, from all causes at all ages. 1903.
    Deaths at all ages.Death-rates,* 190$.Death-rates,* Persons.
    Males.Females.Persons.Males.Females.Persons.1902.1901.
  • Page 11
    TABLE 13. Deaths at various ages from all causes, 1903.
    Age Groups.Deaths in Institutions.
    0—1—5-15—25—05 and over.
  • Page 12
    TABLE 14. Mortalities at different ages per 1,000 estimated living in each age-group. Paddington,1901-1903.
    Year.Males.Females.
    0—1—5—15—25—05 and over.0—1—5-15-25—05 and over.
  • Page 12
    Death-Rates.
    Mean Rates. I
    Five years.Five years.Ten years.
  • Page 13
    TABLE 15. Death-Rates—Selected Causes, 1903. From the Registrar-General's Quarterly Reports.
    All CausesSmallpox.Measles.Scarlet Fever.Diphtheria.Whooping Cough."Fever."Diarrhœal Dis.Phthisis.Infantile Mortality.
  • Page 13
    TABLE 16.
    All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whoop ing Cough"Fever'Diar. rhœal Dis.Infantile Mortality.
  • Page 14
    The changes in the rates due to the use of such factors are indicated below:—
    Standard Rate.Recorded Rate.*Corrected Rate.Difference from Standard Rate.
  • Page 15
    SMALL-POX.
    Borough.London.
  • Page 15
    ing here and there small epidemics. The totals reported in the Metropolis and the provinces* during the last two years are given below:—
    Quarter1234Whole year.
  • Page 15
    Small-pox.
    Averages. Corrected and adjusted. A.
    19031893-971898-19021893-1902
  • Page 16
    Vaccination Returns.
    Births.Successfully Vaccinated.Insusceptible of Vaccination.Died Unvaccinated.Per cent. of Births. Cols. 2, 3, & 4.Vaccination Postponed.Certificates under Act granted for.Remaining (not traced, &c.*Per cent, of Births. Cols. 6, 7, & 8.
  • Page 16
    DIPHTHERIA.
    Borough.London.
    1903.1902.1903.1902.
  • Page 16
    Diphtheria. (Including Membranous Croup.)
    Averages.
    Five years.Five years.Ten years.
  • Page 17
    The 145 cases reported in the Borough occurred in 130 houses, distributed as below—
    1903.1902.
  • Page 17
    Three or more cases occurred in 13 streets, compared with 23 in 1902. A tabular list of such streets is appended—
    1903.1902.1903.1902.
  • Page 18
    Diphtheria. Death-rates all ages.
    1903.Mean Rates.
    Five years. 1893-1897.Five years. 1895-1902.Ten years. 1893-1902.
  • Page 18
    TABLE 17. Diphtheria 1903.
    District.Cases Notified.*To Hospital.Per cent. Cases Notified to HospitalDeaths.Fatalities. per cent, cases treated
    At Home.In HospitalAt Home.In Hospital
  • Page 18
    SCARLET FEVER.
    Borough.London.
    1903.1902.1903.1902.
  • Page 19
    Scarlet Fever.
    London.Borough.St. Mary.St. John.North-W est Paddington.
  • Page 19
    Ward I.—Queen's Park.
    1903.1902.
    C.H.C.H.
  • Page 19
    Ward III.—Maida Vide.
    1903.1902.
    C.H.C.H.
  • Page 19
    Warcl II.—Harrow Road.
    1903.1902.
    C.H.C.H.
  • Page 19
    Ward IV.—Westbuurne.
    1903.1902.
    C.H.C.H.
  • Page 20
    Ward V.—Church.
    1903.1902.
    Hall ParkC.H.C.H.
  • Page 20
    Ward VI.—Lancaster Gate, West.
    1903.1902.
    C.H.C.H.
  • Page 20
    Ward VIII.—Hyde Park.
    1903.1902.
    C.H.C.H.
  • Page 20
    The 411 cases notified occurred in 312 houses, distributed thus—(the 1902 returns are added for comparison.)
    1903.1902.
  • Page 20
    scarlet t ever. Death-rates all ages.
    1903Mean Rates.
    Five Years. 1893-97Five Years. 1898-1902Ten Years. 1893-1902
  • Page 21
    TABLE 18. Scarlet Fever. 1903.
    District.Cases Notified.*To Hospital.Per cent. Cases Notified to HospitalDeaths.Fatalities per cent, cases treated
    At Home.In HospitalAt Home.In Hospital
  • Page 22
    "FEVER." (Including Enteric, Typhus and Continued Fevers).
    Borough.London.
    1903190219031902
  • Page 22
    Enteric Fever. Including Continued Fever.
    1903.Averages.
    Five years. 1893—97.Five years. 1898—1902.Ten years. 1893—1902.
  • Page 23
    TABLE 19. Enteric Fever. 1903.
    District.Cases Notified*To Hospital.Per cent, of cases Notified to HospitalDeaths.Fatalities Der cent, cases treated
    At Home.In HospitalAt Home.In Hospital.
  • Page 24
    Enteric Fever. Death-rates at all ages.
    Mean Rates.
    1903.Five years. 1893-97.Five years. 1898-1902.Ten years. 1893-1902.
  • Page 25
    SEPTIC DISEASES* Puerperal Fever.
    Borough.London.
    1903.1902.1903.1902.
  • Page 25
    TABLE 20. Puerperal Fever.
    Rates per 1,000.
    Females aged 15-45 years.Births registered.
  • Page 26
    Mortality in Childued. 1903.
    Rates per 1,000
    Females aged 15-45 years.Births.
  • Page 27
    Erysipelas.
    Borough.London.
    1903190219031902
  • Page 27
    " Other Septic Diseases." Death-rates at all ages.
    1903.Mean Rates.
    Five years. 1893-97.Five years. 1898-1902.Ten years. 1893-1902.
  • Page 27
    Measles. Primary cases only.
    Ouarter1o34Year.
  • Page 28
    TABLE 21. Measles, 1903.
    Registration Sub-Districts.0—1—2—3—4—5—13—15—
    m.f.m.f.m.f.m.f.m.f.m.f.m.F.m.f.
  • Page 30
    Whooping Cough.
    Quarter1934Year
  • Page 30
    TABLE 22. Whooping Cough. 1903.
    0-1—2-3-4—5—13—15—
    M.FM.F.M.F.M.FM.F.M.FM.F.M.F.
  • Page 30
    Whooping Cough. Death-rates.
    Mean Rates.
    1903.Five years. 1893-97Five years. 1898-1902Ten years. 1893-1902
  • Page 32
    TABLE 23. Phthisis. Mortality Rates.
    Standard Rate.1901. Recorded. Corrected.1902. Recorded. Corrected.1903. Recorded. Corrected.
  • Page 32
    TABLE 24. Phthisis and Housing. Adjacent Districts.
    Percentage of total population "Overcrowded." Living in homes of less than 5 rooms.Mean mortality (all ages.) 1901-3. " c." " r."
  • Page 33
    TABLE 25. Phthisis and Housing. Wards of the Borough.
    Percentage of Total Population " Overcrowded " Living in homes ofMortalities. (All ages.)
  • Page 33
    The mortality of phthisis is especially disadvantageous to the community, as it falls heaviest on the productive vears of life, as appears from the following statement:—
    0—15—25—35—45—5£—05—
  • Page 35
    TABLE 27. " Cancer." 1903.
    St. Mary.St. John.North-West Paddington.
  • Page 37
    TABLE 28. Deaths and Mortalities at ages under One Year. 1903.
    Registration Sub-DistrictsWeeks.Months
    0—1—0—1—3—6—9—1903.1902.1901.
    Deaths : —M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 39
    Summer Diarrhcea. Infants under 1 year of age. Temperatures
    Weeks.Deaths recorded.Of Air.Earth at 3ft.Rainfall in.
    Max.Mean.
  • Page 40
    The further comparison of deaths from these causes, at ages under one year, may prove of interest:— Diarrhœal Diseases.* Deaths at ages under One Year.
    Average annual number.
    Five years.Five years.Ten years.
  • Page 41
    Deaths of Illegitimate Children. 1903.
    Age at Death years.St. Marv.St. John.North-West Paddington
    mf.m.f.mf.
  • Page 42
    The more important causes of death, and the occupations of the mothers are indicated below:—
    Causes of Death.
    Ages.0—11—55—
    m.f.M.F.m.f.
  • Page 42
    Occupations of Mothers.
    Domestic Service25Commercial Employments13
  • Page 43
    TABLE 30. Inquests touching deaths of Residents. 1903.
    Finding of Jury.St. Mary.St. John.North-West Paddington.
    M.F.M.F.M.F.
  • Page 43
    The-deaths in public institutions occurred in:—
  • Page 44
    TABLE 31. Report of the Work of the District Inspectors during the year 1903.
    No. of Complaints received.Inspection of Dwelling Houses.Sanitary Works completed in Dwelling Houses.To Regulate Keeping of Animals.
    Drainage, &c.Water Supply.Dust Receptacles.Miscellaneous.
    " House-to-House."On Complaint or after Illness.Cellar Dwellings.Re-inspection of all kinds.Entire Reconstruction.Drains Relaid, Trapped, or Ventilated.Waste Pipes Disconnected.Rain-water Pipes Disconnected.W.C's., New, Provided, Repaired, &c.Soil Pipes Ventilated.Services Separated.Supplies Reinstated.Cisterns, New, ProvidedCisterns Cleansed, Repaired, &c.Cisterns Overflows Disconnected.New, Provided.Repaired, &c.Drains Cleared, Flushed, &c.Houses or Rooms Cleansed, Whitewashed, &c.Cases of Overcrowding Abated.I Cellar Dwellings Closed.1 Yards and Areas Paved and Drained, Manure Receptacles Reconstructed, &c.1 Accumulations Removed.Improperly-kept Removed.
  • Page 46
    The disinfection of bedding, articles of clothing, &c., has been carried out by contract, as has been the custom for over 20 years. Orders for disinfection were issued after 1,879 cases of illness, viz.
  • Page 47
    The reasons for discontinuing the supply were alleged to be :—
    Grand Junction.West Middlesex.
  • Page 47
    The periods which elapsed between discontinuance and restoration of supply are sufficiently indicated below:—
    Grand Junction.West Middlesex.
  • Page 48
    During the year 304 bodies were received at the two Mortuaries, viz., 283 at Paddington Green Mortuary, and 21 at Kensal Road. The inquests held numbered 240, 98 being after post-mortem examination—See below.
    Paddington Green.Kensal Road.
  • Page 48
    The notices despatched during the year numbered 2,660 in all1, viz.:—
    Notices.Exclusion.Re-admission.
  • Page 48
    The comparative incidence of disease in the two classes of school are set out below:—
    Scarlet Fever.Diphtheria.
    P.A.P.N.A.P.A.P.N.A.
  • Page 49
    TABLE 32. Borough Schools, 1903. Notified Diseases.
    Name of School.Residents in Borough.Residing beyond Borough.
    Scarlet Fever.Diphtheria.Scarlet Fever.Diphtheria.
  • Page 50
    TABLE 33. Borough Schools, 1903. Other Diseases.
    Name of School.Measles.Chicken-pox.Whooping Cough.
    Quarters.Yr.Quarters.Yr.Quarters.Yr.
    123412341234
  • Page 52
    Eightv-seven (87) of the returns related to scarlet fever, 34 to diphtheria and 5 to enteric fever. (See below.)
    Disease.Kensington.Willesden.
  • Page 52
    The results of examination are tabulated below—
    Diphtheria.Enteric Fever.Phthisis.
  • Page 56
    The 135 addresses were given in 55 lists, received from :—
  • Page 56
    TABLE 34. Factories, Workshops, and Work-places.0
    No. of Premises.No. of Rooms.Women.Employees.
    Young Persons.Men.Total.
  • Page 57
    The address was, however, noted with a view to the occurrence of any illness in the house, or of any occasion to inspect the premises for other reason. TABLE 35.
    Miss O'Kell.Miss Nicolas.Mr. Wansbrough.
  • Page 61
    In the following table the conditions as to housing in the 205 houses placed on the register are set out :— Summary of Particulars obtained at Registration, 1903. Housing.
    Inspector Wingfield Group A.Inspector Lawrence. Group B.
  • Page 61
    Inhabitants.
    Group A.Group B.
  • Page 61
    Overcrowding.
    In Registered Rooms—Group A.Group B.
  • Page 62
    housing. Streets comprised in
    Group A.Group B.
  • Page 62
    TABLE 36. Particulars as to Numbers of Tenements and Inhabitants therein, registered during 1003.
    Rooms to Tenement.Group of Streets.12345678910
    TP10TP10Tp10TP10TP10Tp10TP10TP10TP10TP10
    10P10P10P10P10P10P10P10— P10p10p
  • Page 62
    I he particulars given in the preceding table may be summarised in the following form:—
    Tenements registered—Group A.Group B.
  • Page 63
    TABLE 37. Particulars as to Numbers of Tenements and Inhabitants in Registered Houses, 1903.
    Rooms to | Tenement.12345678910
    TP 1010 PTP 1010 PTP 1010 PTP 1010 PTP 10PTP 1010 PTP 1010 PTP 1010 pTP 1010TP 1010 P
  • Page 63
    The Table may be summarised brieflv as follows :—
    Totals." Overcrowded."†Average number of persons per room.‡
  • Page 64
    TABLE 38. Sanitary Defects Remedied in Registered Houses.
  • Page 69
    The classes of shops at which milk is sold are indicated below :-
  • Page 70
    At the time of the inquiry (1901) there were 157 vendors on the Register, 17 less than at the end of 1903. The 82 milkshops obtained their supplies from:—
  • Page 70
    Milk is also sold at 75 " miscellaneous " shops, the supplies being obtained from :—
  • Page 72
    TABLE 40. Numbers of places where Food is sold:—
  • Page 72
    Inspections during the year :—
  • Page 72
    Defects found and remedied :—
    Milkshops and Dairies.*Restaurants and Eating Houses.Premises occupied by Ice Cream Makers.
  • Page 73
    Total weight (lbs.).
  • Page 73
    Fish :— Total weight (lbs.).
  • Page 73
    Vegetables and Fruits :—
  • Page 74
    TABLE 41. Summary of Articles submitted to the Public Analyst during the year 1903.
    Total.Found Adulterated.Percentage Adulterated.
  • Page 74
    The work of the Clerical Staff is not of a nature to be reduced to a statistical record, but the following figures will indicate a small part of the work accomplished during the year:—
  • Page 77
    SUMMARY OF LEGAL PROCEEDINGS. SUMMARY OF LEGAL PROCEEDINGS DURING 1903.
    Under Public Health (London) Act, 1891.Fine.Costs.
  • Page 77
    Under London County Council (General Powers) Act, 1902.
  • Page 78
    SUMMARY OF LEGAL PROCEEDINGS. SUMMARY OF LEGAL PROCEEDINGS DURING 1903. Under Sale of Food and Drugs Acts, 1875-1899.
    Fine.Costs.
  • Page 79
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1903 and Previous Years.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Registered in the District.Total Deaths in Public Institutions in the District.Deaths of Nonresidents registered in Public Institutions in the District.Deaths of Residents registered in Public Institutions beyond the District.Nett Deaths at all Ages belonging to the District.
    Number.Rate*Under 1 Year of Age.At all Ages.
    Number.Rate per 1,000 Births registered.Number.Rate.*Number.Rate.*
  • Page 80
    TABLE II. Vital Statistics of Separate Localities in 1903 and Previous Years.
    Names of Localities.1.—BOROUGH.2.—Registration Sub-District St. Mary.3.—Registration Sub-District St. John.5.—Registration Sub-District North-West Paddington.
    Year.Population estimated to middle of each year.Births registered.Deaths at all Ages.Deaths under 1 year.Population estimated to middle of each year.Births registered.Deaths at all Ages.Deaths under1 year.Population estimated to middle of each year.Birtns registered.Deaths at all Ages.Deaths under 1 year.Population estimated to middle of each year.Births registered.1Deaths at all Ages.Deaths under 1 year.
  • Page 81
    deaths in local institutions. TABLE III. Deaths in Local Institutions. 1903.
    Year.Paddington Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital.
  • Page 81
    TABLE IIIA. Causes of Deaths in Institutions. 1903.
    Causes of Death.Local Institutions.Deaths of Residents recorded beyond the Borough.
    Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital, and Nursing Homes.Hospitals of Metropolitan Asylums Board.Special and General Hospitals.Lunatic Asylums.Poor Law Institutions.Elsewhere.
  • Page 82
    TABLE IV. Causes of Death at Various Ages in Each Sex. 1903. Corrected for Non-Residents dying within the Borough, and (as far as possible) for Residents dying without the Borough.
    Causes of Death.Under 11—55—1515—2525—6565 and Upw'rds.All Ages.
  • Page 83
    TABLE V. Deaths at All Ages, Allocated to Wards and Registration Sub-Districts. 1903. Corrected for Non-Residents dying within the Borough, and (as far as possible) for Residents dying without the Borough.
    Causes of Death.Wards.Registration Sub-Districts.
    Queen's Park.*Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate West.Lancaster Gate East.Hyde ParkSt. Mary.St. John.