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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29
septic diseases.
H. W., æt. 32; married; 4(+)th child; medical student and untrained nurse of doubtful cleanliness;
labour protracted; high temperature from beginning; streptococci found in blood; general peritonitis
and pleurisy found at P. M. examination but no lesion in the uterus. History of severe attack
gonorrhoea some 18 months previous to confinement, but a normal confinement had taken place
during that period.
— N., æt. 32; married; medical practitioner and untrained nurse; protracted labour; no instruments;
animals kept in dirty condition in adjacent garden.
E. P., æt. 28; married; 5th child; midwife and untrained nurse in attendance: labour normal; premises
dirty.
J. H., æt. 21; married; 1st child ; premature confinement at 8th month ; history incomplete.
M. A., æt. 22; married; neglected miscarriage; lived in basement of partly inhabited house; premises
dirty.

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.
Cases notified1171184,9544,382
Deaths68232183
Morbidity*0.790.881.060.91
Fatalityf5.16.74.64.0
Mortality*0.010.050.040.03

* Per 1,000 persons of all ages.
Per 100 cases notified.
The cases notified in the Borough decreased from 118 in 1903 to 117 last year, while the
number for the Metropolis rose from 4,382 to 4,954. Last year's total (117) was 29 less than
the decennial average. The cases reported from St. Mary Sub-District numbered 93
(decennial average 110), those from St. John 13 (average 19), and those from North-West
Paddington (average 17). In three Wards, viz., Church, Lancaster Gate East, and Hyde
Park, the cases reported last year were fewer than in the previous year. (Table 10.) The
morbidity rates in the Adjoining Districts are given in Table 9. Three of the cases occurred
in hospitals, and nine other patients were removed to the Infirmary*.
Other Septic Diseases.—Nine deaths were recorded last year under this heading—a
little more than half the number recorded in 1903 (16). The deaths were due to "pyæmia"
2 (7),* "infective endocarditis" 3 (3), "stomatitis" 2 (3), and "cellulitis" 2 (3). (See
Tables IV. and V., Appendix.) The mortality rates, calculated on the total deaths from
erysipelas and other septic diseases, are set out below:—

"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.
Borough0.100.090.110.10
St. Mary0.140.100.130.12
St. John0.020.060.070.07
North-West Paddington0.080.060.07

* Figures for 1903 shown thus.