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Paddington 1904

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

Published
1905
Author
Dudfield, Reginald.
Pages
187
Tables
121

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121 tables in this report

  • Page -
    The mean rates for the last five years (1900-04) all show decreases from the means for the five years immediately preceding the date when I took office (1894), as may be seen from the appended statement:—
    Mean Rates forBirths.Sickness.Deaths.Infantile Mortality.
  • Page -
    which prevailed during 1870-72 persisted during 1900-02. The rates are set out in tabular form below:— Mean Rates : England and Wales.
    Periods.Births.Deaths.Infantile Mortality.
  • Page -
    Thus the number enumerated at the Census of 1871 was 30.9 per cent. higher than the number enumerated in 1801. Similarly the return for 1901 was 45.7 per cent. higher than that of 1891. (See Table below.) Increases per cent. in each previous Decennium.
    Date of Census.Total Population of England and Wales.Of Persons born in Foreign Countries enumerated in England and Wales.
    As determined by Census enumeration.As calculated from natural increment.Total.Classified as Foreign Subjects.
  • Page 1
    The Borough comprises three Registration Sub-Districts and is also divided into eight Wards. The two schemes of division overlap to some extent, as may be gathered from the appended statement.
    Registration Sub-Districts.Wards.
  • Page 1
    TABLE 1. Estimated Population. 1904.
  • Page 2
    TABLE 2. Meteorological Elements.
    Months.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. 1901.
    Births.Borough.Registration Sub-Districts.
    St. Mary.St. John.North-West Paddington
  • Page 3
    Last vear's rate for the Borough was 1.67 below the decennial mean rate (24.11). The quinquennial and decennial mean rates are compared in full below:— Birth-Rates, Per 1,000 persons of all ages.
    Mean Rates.
    Five years,Five years,Ten years,
  • Page 4
    Illegitimate Births.—Included in the 3,295 births registered within the Borough were 167 of illegitimate children, viz., 79 of boys and 88 of girls. In the Lying-in Hospitals there occurred 37 other births. Births of Illegitimates. (Including those in Outlying Hospitals).
    Borough.St. Mary.St. John.North-West Paddington.
  • Page 4
    TABLE 4. Births and Birth-Rates.* 1904.
    Births Registered.Birth-rates.
    Per 1,000 persons at all ages.Per 1,000 females aged 15-45 years.
  • Page 5
    TABLE 5. (Census, 1901.)
    Of 1,000 Females aged 15-45Proportion occupied per 1,000.
    Unmarried.Married.Females 15-45.Married and Widowed, 15 years and upwards.
  • Page 6
    TABLE 6. Birth-rates. Per 1,000 females (15-45) of each class.
    All Births. Married Females.Legitimate Births. Married Females.Illegitimate Births. Unmarried Females.
  • Page 6
    Birth-rates, London. Per 1,000 individuals of each class.
    Total Births.Legitimate Births.Illegitimate Births. Unmarried and Widowed females 15—45 years.
    Total Population.All females Aged 15-45 years.Married females 15-45 years.
  • Page 7
    TABLE 7. Notifications.
    Borough.London.Notification Rates.
    19041903Differences. Increase ( + ) Decrease (—)19041903Differences. Increase ( + ) Decrease (—)Borough.London.
    1904190319041903
  • Page 7
    TABLE 8. Notifications, 1904 (Compiled from Registrar-General's Quarterly Reports).
    Pad dington.London.*Kensington.Westminster.†Marylebone.Hampstead.Willesden
  • Page 8
    TABLE 9. Notification Rates. (Based or) figures given in preceding Table.)
    Paddington.London.Kensington.Westminster.Marylebone.Hampstead.Willesden.
    1904* Mean1904Mean1904Mean1904Mean1904Mean1904Mean1904Mean
  • Page 8
    TABLE 10. Notifications, 1904. Distributed according to Wards. Numbers for 1903 shown {italics).
    1. Queen's Park.II. Harrow Road.III. Maida Vale.IV. West-bourne.V. Church.VI. Lancaster Gate West.VII. Lancaster Gate. East.VIII. Hyde. Park.
  • Page 9
    Tabulating the cases according to Wards (see Table 10), it appears that numbers for 1904 were generally below those for 1903, the more important exceptions being—
  • Page 9
    The rates calculated on the total numbers of cases were slightly higher in 4 out of the 8 Wards, viz.:—
  • Page 9
    TABLE 11. Notifications, 1904. Distributed according to sexes and ages of patients.
    Ages.Small pox.Diphtheria.Membranous Croup.Erysipelas.Fevers.
    Scarlet.Enteric.Continued.Puerperal.
  • Page 10
    The ages at death are sufficiently indicated in the appended statement, in which the numbers for 1903 are given in parentheses:—
    Ages, Years.No. of deaths. Persons.Ages, Y ears.No. of deaths. Persons.
  • Page 10
    The principal causes of death were—
    Infectious Diseases.Other Diseases and Causes.
  • Page -
    The ages at death are sufficiently indicated in the appended statement, in which the numbers for 1903 are given in parentheses:—
    Ages, Years.No. of deaths. Persons.Ages, Years.No. of deaths. Persons.
  • Page -
    The principal cxiuses of death were—
  • Page 11
    TABLE 12. Deaths and Death-rates, 1904. All causes, all ages.
    Deaths, 1904.Death-rates.
    1904.Mean-rates, 1901-03.
    Males.Females.Persons.Males.Females.Persons.Males.Females.Persons.
  • Page 12
    TABLE 13. Death.rates, 1904. All causes.
    Sex.Ages.Borough.Registration Sub.Districts.Wards.
    St Mary.St. John.North.West Paddington..Harrow Rd.Maida Vale.Westbourne.Church.Lancaster Gate (West).Lancaster Gate (East).Hyde Park.
  • Page 13
    TABLE 14. Death-rates, 1904. All and selected causes.
    All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whooping Cough."Fever'Diarrhœal Dis.Phthisis.Infantile Mortality.
  • Page 13
    TABLE 15. Death-rates, 1904. All and selected causes.
    All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whoop ing Cough“Fever”Diarrhœal Dis.Infantile Mortality.
  • Page 14
    Death-Rates—All Causes. Per 1,000 persons.
    Mean Rates. i
    r Five years.Five years.Ten years.
  • Page 15
    TABLE 16. Corrected Death-rates.
    Standard Rate.Corrected Rate, 1904.Difference from Standard.Mean Corrected Rate, 1901-03.Difference (1904) from Mean.
  • Page 16
    SMALL-POX.
    Bokough.London.
    1904.1903.1904.1903.
  • Page 16
    Vaccination Returns.
    Births.Successfully Vaccinated.Insusceptible of Vaccination.Died UnvaccinatedPer 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 18
    TABLE 17. DiphthEria. 1904.
    District.Cases Notified.*To Hospital.Per cent. Cases Notified to HospitalDeaths. At Home. In HospitalFatalities. per cent. cases treated At Home. In Hospital
  • Page 19
    Last year's mortality rates were all markedly below the various mean rates, as will be seen from the appended statement:— Diphtheria: Death-rates Per 1,000 persons.
    Mean Rates.
    Five years.Five years.Ten years.
    1904.1894-1898.1897-1903.1894-1903.
  • Page 20
    SCARLET FEVER.
    Borough.London.
    1904.1903.1904.1903.
  • Page 20
    Scarlet Fever: Notifications, 1904. Averages shown in parentheses.
    Quarters1234
  • Page 20
    Scarlet Fever: Notifications.
    Averages. Corrected and adjusted.
    Five years.Five years.Ten years.
    1904.1894-98.1899-03.1894-1903.
  • Page 21
    The cases were reported from 279 houses, as here set out:—
    1904.1903.
  • Page 22
    The 51 cases comprised 30 primary (p) and 15 secondary (s), distributed thus:—
    Week ending—By notification.By date of attack.
    p.s.p.s.
  • Page 23
    TABLE 18. Scarlet Fever. 1904.
    District.Cases Notified.*To Hospital.Per cent. Cases Notified to HospitalDeaths.Fatalities per cent. cases treated At Home. In Hospital
    At Home.in Hospital
  • Page 23
    Scarlet Fever: Death-rates Per 1,000 persons.
    Mean Rates.
    Five Years.Five Years.Ten Years.
    19041894-981899-19031894-1903
  • Page 24
    "FEVER." (Including Typhus, Enteric, Relapsing and Continued Fevers).
    Borough.London.
    1904.*1903.1904.1903.
  • Page 24
    "Fever": Notifications.
    Averages. Corrected and adjusted.
    1904.Five years. 1894—98.Five years. 1899—1903.Ten years. 1894—1903
  • Page 24
    Multiple cases occurred in 5 houses, viz.:—
    1904.1903.
  • Page 25
    TABLE 19. Enteric Fever. 1901.
  • Page 27
    SEPTIC DISEASES.* Puerperal Fever.
    Borough.London.
    1004.1903.1904.1903.
  • Page 27
    Puerperal Fever, 1004.
    Morbidity rates per 1,000
    Females aged 15-45.births registers d
  • Page 27
    Puerperal Fever : Death-rates, 1901. Mortality per 1,000
    Females aged 15-45 years.Births registered.Fatality per 100 cases notified.
  • Page 28
    Mortality ix Childbed. Per 1,000 births registered.
    Paddington.London.Kensington.Westminster.Marylebone.Hampstead.Willesden.
  • Page 29
    B., æt. 36; married; history incomplete; lived on stable premises, of very bad construction, the window of bedroom opening on to a covered well in direct communication with stalls in basement. Erysipelas.
    Borough.London.
    1904.1903.1904.1903.
  • Page 29
    "Other Septic Diseases": Death-rates (Including Ervsipelas.) Per 1,000 persons.
    1901.Mean Rates. A.
    Five years. 1894-98.Five years. 1899-1903.Ten years. 1894-1903.
  • Page 30
    Measi.es. Primary cases only. 1904.
  • Page 30
    The ward distribution of cases and deaths during 1901 and 1903 is indicated below:—
    c.D.c.D.
  • Page 30
    In 1903 the 929 known cases occurred in 491 houses, while last year 896 cases occurred in 490 houses;—showing a slight tendency to a reduction in the frequency of multiple cases.
    1904.1903.
  • Page 31
    TABLE 20. Measles, 1901.
  • Page 31
    Measles: Death-rates Per 4,000 persons.
    Mean Rates.
    r Five years.Five years.Ten years.
    1901.1894-98.1899-1903.1894-4903.
  • Page 33
    Whooping Cough. 1904.
    Quarters1234
  • Page 33
    The distribution of cases and deaths according to Wards is set out below:—
    c.d.c.d.
  • Page 34
    The incidence of attacks and deaths is fully given in the appended table:— TABLE 21. Whooping Cough. 1904.
    Registration Sub-Districts.Ages-—Years.
    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 34
    Whooping Cough : Death-rates per 1,000 persons.
    Mean Rates.
    Five years.Five years.Ten years.
  • Page 34
    The sex-age incidence is indicated below:—
    Ages 0—1—o_3—4—5—13—15—
  • Page 35
    The number of houses invaded was 286 as compared with 139 in 1903.
    1904.1903.
  • Page 35
    Phthisis : Death.rates Per 1,000 persons.
    Mean Rates.
    Five years.Five years.Ten years.
  • Page 36
    TABLE 22. Phthisis.
  • Page 36
    TABLE 23. Phthisis.
  • Page 38
    Overcrowding.—Taking the Registrar-General's standard of an excess of two persons per room, the proportions of homes (H) and inhabitants (I) overcrowded were as set out below—the Census figures for the Borough have been added for comparison:—
    Per cent.Phthisis homes.Borough, 1901.
  • Page 38
    Consumption'. Occupations of Deceased Persons.
    Occupation.MF.Total.Occupation.MF.Total.
  • Page 40
    Other Tubercular Diseases : Death-rates Per 1,000 persons.
    Mean Rates.
    Five years.Five years.Ten years.
  • Page 40
    Cancer : Death-rates Per 1,000 persons. Mean Rates.
    Five years.Five years.Ten years.
  • Page 41
    TABLE 24. Canckr : Death-rates.
    District.Standard.1904.Mean Corrected. 1901.03.
    Recorded.Corrected.
  • Page 41
    TABLE 25. Cancer : Death-rates.
    Wards of Borough.Standard.1904.Mean Corrected. 1901.03.
    Recorded.Corrected.
  • Page 42
    Particulars as to sites and nature of the "cancer" will be found in the annexed Table. TABLE 26. "Cancer." 1904.
  • Page 43
    Alcoholism : Death.rates Per 1,000 persons.
    Mean Rates.
    Five years.Five years.Ten years,
  • Page 43
    Infantile Mortality Per 1,000 Births registered in each district.
    Mean Rates.
    Five years.Five years.Ten years.
  • Page 44
    Infantile Mortality.
    Proportion " occupied " per 1,000 females, Married and Widowed.Infantile Mortality.
    1904.Mean. 1901-03.
  • Page 45
    TABLE 27. Causes of Death at Ages under One Year.
  • Page 46
    The enquiries made enabled the housing conditions of 107 families to be analysed:—
  • Page 47
    Deaths of Illegitimate Children.
    Age at DeathSt. Mary.1904.North-West Paddington.
    St. John.
  • Page 47
    The more important causes of death, and the occupations of the mothers are indicated below:— Causes of Death.
    0—1—5—
    M.F.M.F.M.F.
  • Page 47
    Occupations of Mothers.
  • Page 48
    TABLE 28. Inquests, 1901.
    Finding of Jury.St. Mary.St. John.North-West Paddington.
    m.f.m.f.m.f.
  • Page 48
    As regards deaths by suicide, there was a decline, 11 deaths being recorded compared with a corrected decennial average of 15. An analysis (condensed) of the causes and circumstances of the deaths, other than those by natural causes, is appended.
  • Page 49
    The proportions in the different Wards were (figures for 1903 in parentheses):—
  • Page 49
    The 582 deaths have been distributed according to the following classification of institutions
  • Page 50
    » TABLE 29. Report of the Work of the District Inspectors during the year 1904.
    Inspection of Dwelling Houses.Sanitary Works completed in Dwelling Houses.To Regulate Keeping of Animals.
    Drainage, &c.Water Supply.Dust Receptacles.Miscellaneous.
    No. of Complaints received." 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.Cistern Overflows Disconnected.New, Provided.Repaired, &c.Drains Cleared, Flushed, &c.Houses or Rooms Cleansed, Whitewashed, &c.Cases of Overcrowding Abated.Cellar Dwellings Closed.Yards and Areas Paved and Drained.Manure Receptacles Reconstructed, &c.Accumulations Removed.Improperly-kept Removed.
  • Page 52
    The reasons for discontinuing the supply were reported bv the Inspectors to be—
    District.
    Grand Junction.West Middlesex.
  • Page 53
    TABLE 30. Borough Schools, 1904. Notified Diseases.
    Name of School.Residents in Borough.Residing beyond Borough.
    Scarlet Fever.Diphtheria.Scarlet Fever.Diphtheria.
  • Page 53
    In all 2,804 such notices were sent, viz.:—
    Exclusion.Re-admission.
  • Page 53
    The following class-rooms were closed at the dates and for the times set out below:—
    School.Class-room.Date of Closure.Duration.Disease.
  • Page 54
    Last vear 69 such returns were received, 52 from Willesden and 17 from Kensington. (See below.)
    Disease.Willesden.Kensington.
  • Page 54
    TABLE 31. Borough Schools, 1904. Other Diseases.
    Name of School.Measles.Chicken-pox.*Whooping Cough.
    Quarters.Yr.Quarters.Yr.Quarters.Yr.
    103412341234
  • Page 55
    The diseases suspected and the results are given below—
    Specimens received.Results.
    Positive.Negative.
  • Page 57
    TABLE 32. Smoke Observations.
    Address.Business.Chimney Shaft of
  • Page 59
    workshop supervision. 59 TABLE 33. Factories, Workshops, and Work-pi.aces.
    No. of Premises.No. of Rooms.Employees.
    Women.Young Persons.Men.Total.
  • Page 61
    Sanitary Conveniences.— These are being gradually improved, as may be seen by comparing the complaints recorded by the Inspectors during the past three years :—
    1902.1903.1904.
  • Page 61
    Sickness.—Fifty.three cases of infectious illnesses were reported at " workshop premises, 14 of the cases occurring in houses occupied by home workers. The cases reported are as follow :—
  • Page 62
    Summary of Particulars obtained at Registration, 1904. Housing.
    Inspector Wingfield. Group A.Inspector Lawrence. Group B.
  • Page 63
    housing,. 63 Inhabitants.
    Group A.Group B.
  • Page 63
    Streets comprised in
    Group A.Group B.
  • Page 63
    TABLE 35. Particulars as to Numbers of Tenements and Inhabitants therein, registered during 1904
  • Page 63
    The foregoing table may be summarised thus : —
    Tenements containing—Number enumerated.Total inhabitants therein.Average number of persons per room.
  • Page 64
    The percentages found " overcrowded" (the first three classes) during 1903 and were—
    Tenements of—Percentage found "overcrowded."
  • Page 65
    HOUSING. 05 available for habitation but standing empty. From the reports of the Inspectors the following summary has been prepared :—
    No. of empty rooms.
    Furnished.Unfurnished.
  • Page 65
    TABLE 3G. Sanitary Defects Remedied in Registered Houses.
    1903.1904.
  • Page 67
    TABLE 37.
    Rates per 1,000 persons.
    Registered Streets.Rest of Borough.Clarendon Street Area.Rest of Borough.
  • Page 69
    housing. 69 TABLE 38. Rates of Morbidity and Mortality per 1,000 persons of all ages, except where otherwise indicated.
    Clarendon Street Area.Rest of Borough.
    1890.00.1901.1902.1903.1904.1890.00.1901.1902.1903.1904.
  • Page 72
    TABLE 39.Numbers of places where Food is sold:—
  • Page 72
    Food Purveyors.
  • Page 72
    Defects found and remedied:—
    Milkshops and Dairies.*Restaurants and Eating Houses.Premises occupied by Ice Cream Makers.
  • Page 73
    Meat:-
  • Page 75
    TABLE 40. Summary of Articles submitted to the Public Analyst during the year 1904.
    Total.Found Adulterated.Percentage Adulterated.
  • Page 79
    SUMMARY OF LEGAL PROCEEDINGS DURING 1904.
    Under Public Health (London) Act, 1891.Fine.Costs.
  • Page 80
    Under Sale of Food and Drugs Acts, 1875-1899.
  • Page 82
    APPENDIX. TABLE I. Vital Statistics of Whole District during 1904 and Ten 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.Rate1Under 1 Year of Age.At all Ages.
    Number.Rate per 1,000 Births registered.Number.Rate.*Number.Rate.*
    12345678910111213
  • Page 84
    deaths in local institutions. TABLE III. Deaths in Local Institutions.
    Year.Paddington Workhouse and Infirmary.St. Mary s Hospital.Children's Hospital.Lock Hospital.
  • Page 84
    TABLE IIIa. Causes of Deaths in Institutions. 1904.
    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 85
    causes of death at various ages in each sex. TABLE IV. Causes of Death : Borough—Sex and Age Distribution. 1904. 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.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.p.
  • Page 86
    deaths at all ages. TABLE V. Deaths Allocated to Wards and Registration Sub-Districts. Persons—All Ages. 1904. Correctedfor 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.
  • Page 87
    factories, workshops, laundries, workplaces and homework. 1.—Inspection. Including Inspections made by Sanitary Inspectors or Inspectors of Nuisances.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 87
    2.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 87
    3.—Other Matters.
    Class.Number.