London's Pulse: Medical Officer of Health reports 1848-1972

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Paddington 1904

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

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27
SEPTIC DISEASES.

SEPTIC DISEASES.* Puerperal Fever.

Borough.London.
1004.1903.1904.1903.
Cases notified103274231
Deaths6 (8)2 (4)218169
Morbidity†0.150.060.210.18
Fatality‡60.066.679.572.29
Mortality†0.120.080.170.13

I here was last year an increased prevalence of the febrile conditions included under the
term "puerperal fever," both in the Borough and the whole Metropolis. The 10 cases
recorded in the Borough were equal to the number recorded in 1001, but four less than the
total for 1002 (14). The corrected decennial annual average was 10. Seven of the cases
were reported from St. Mary Sub-District, two from St. John, and one from North-West
Paddington. The morbidity (per 1,000 persons of all ages) was 0.06, or the same as the
mean rate for the three years 1901-03. Equal rates were recorded in Kensington and
Hampstead, all the others being lower. (See Table 0.) Better standards of morbidity are the
rates based on the numbers of women of child-bearing ages, and on the numbers of births
registered. Both these rates are given below:—

Puerperal Fever, 1004.

Morbidity rates per 1,000
Females aged 15-45.births registers d
Paddington0.153.03
London0.211.90
Kensington0.173.18
Westminster0.081.72
Marylebone0.061.07
Hampstead0.184.19
Willesden0.131.15

The deaths of residents scheduled as due to "puerperal fever" numbered 8; 2, however,
were deaths following abortion or miscarriage which were not notified during life. The fatalitv
of the notified cases was 60.0 per cent., a little lower than that of 1003 (66.6), and lower
than the fatality (calculated on all deaths registered) of the Metropolis (79.5).
The mortality (per 1,000 persons of all ages) was 0.05, 0.02 above the decennial mean.
The mortality per 1,000 females aged 15-45 years was 0.12, and that per 1,000 births
registered 2.42. The corresponding figures for the Adjacent Districts are given below:—

Puerperal Fever : Death-rates, 1901. Mortality per 1,000

Females aged 15-45 years.Births registered.Fatality per 100 cases notified.
Paddington0.122.4280.0 (60.0)
London0.171.6879.5
Kensington0.071.4445.4
Westminster0.010.3420.0
Marylebone
Hampstead0.122.7966.6
Willesden ...0.131.15100

* Under this head fall "puerperal fever," "erysipelas" and "other septic diseases," the two first being scheduled
for notification.
† Per 1,000 females of child-bearing ages (15-45 years). † Per 100 cases notified.