London's Pulse: Medical Officer of Health reports 1848-1972
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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 1904
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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20
scarlet fever.
SCARLET FEVER.
| Borough. | London. | |||
|---|---|---|---|---|
| 1904. | 1903. | 1904. | 1903. | |
| Cases notified | 365 | 414 | 13,451 | 12,545 |
| Deaths | 8 | 9 | 365 | 361 |
| Morbidity | 2.48 | 2.83 | 2.89 | 2.71 |
| Fatality | 2.1 | 2.5 | 2.7 | 2.8 |
| Mortality | 0.05 | 0.06 | 0.07 | 0.07 |
The notifications during the past year (365) showed a decline equal to 12 per cent. of the
total for 1903, while in the Metropolis as a whole the cases increased by 7 per cent. It will,
however, be seen from Table 10 that cases reported last year in the following Wards were
more numerous than in 1903, viz.:—Oueen's Park, 70 ((13); Lancaster Gate (West), 15 (14);
and Hyde Park, 27 (12).*
The local morbidity (calculated on data furnished by the Registrar-General's Reports)
was higher than that of any of the Adjacent Districts, Willesden excepted. (See Table 9.)
The cases reported during each quarter of the year were below the (uncorrected)
averages for the quarters, except in the first quarter (St. Mary) and third quarter (NorthWest
Paddington)—See below.
Scarlet Fever: Notifications, 1904. Averages shown in parentheses.
| Quarters | 1 | 2 | 3 | 4 |
|---|---|---|---|---|
| Borough | 92 (90) | 92 (146) | 109 (145) | |
| St. Mary | 68 (65) | 40 (71) | 55 (104) | 74 (106) |
| St. John | 19 (16) | 7 (18) | 14 (17) | |
| North-West Paddington | 13 (16) | 30 (24) |
The year's total (365) was considerably below the decennial average (501), duly
corrected for changes in population and adjusted to nearest whole number. A complete
comparison with the averages is set out below:—
Scarlet Fever: Notifications.
| Averages. Corrected and adjusted. | ||||
|---|---|---|---|---|
| Five years. | Five years. | Ten years. | ||
| 1904. | 1894-98. | 1899-03. | 1894-1903. | |
| London | 13,45.1 | 21,815 | 16,521 | 19,148 |
| Borough | 365 | 587 | 418 | 501 |
| St. Mary | 237 | 420 | 317 | 367 |
| St. John | 52 | 71 | 55 | 63 |
| North-West Paddington | 76 | 96 | 46 | 71 |
The 365 cases notified included 9 subsequently ascertained to have been erroneously
diagnosed, 7 of the patients having been removed to hospital; 11 due to infection contracted
outside the Borough ; 13 due to patients recently discharged from hospital; and 4 contracted
in hospitals—not counting a small group of cases in connection with the Workhouse Infirmary-
* Figures in parentheses numbers for 1903.