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 1906
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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12
DIPHTHERIA.
Of the 182 cases recorded last year, 163 were primary and 19 secondary, the frequency
of multiple attacks in the same house being indicated below. The proportion of secondary
cases last year (10 per cent,) was higher than that of 1905 (7 per cent.), but below that of
1904 (14 per cent.).
1906. 1905. 1904.
Houses with 2 cases each 13 5 6
,, 3 ,, 1 5
,, 4 ,, - - 1
,, 5 ,, 1 - -
The reported cases included 18 which had been erroneously diagnosed and 4 which
developed in hospitals away from the Borough. Two cases were apparently due to
the return home of patients from hospital, and 15 to infection acquired outside the Borough.
In two instances the patients died on or before the days on which the notifications were
received.
The numbers of cases removed to hospital for isolation from each of the Wards are given
in Table 13, the total (136) being equal to 80.2 per cent., as compared with an average of
78 per cent, for the preceding five years.
TABLE 13.
Removales to hospital and deaths.
1906.
Distributed among Wards.
| Diphtheria. | Scarlet Fever. | Enteric Fever | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cases. | Deaths. | Cases. | Deaths. | Cases. | Deaths. | |||||||
| Total Reported. | Removed to Hospital. | At Home. | In Hospital. | Total Reported. | Removed to Hospital. | At Home. | In Hospital. | Total Reported. | Removed to Hospital. | At Home. | In Hospital. | |
| Oueen's Park | 16 | 12 | 1 | 1 | 140 | 137 | 2 | 3 | 2 | - | 1 | |
| Harrow Road | 37 (5) | 32 (5) | 1 | 4 | 161 (3) | 156 (3) | 1 | - | 11 (2) | 8(2) | 1 | 1 (2) |
| Maida Vale | 38 (3) | 28 (3) | 1 | - | 87 (2) | 84 (1) | - | 1 | 4(1) | 3(1) | - | - |
| Westbourne | 28 (5) | 20 (5) | - | 82(1) | 79(1) | - | 2 | 2 | 2 | - | 1 | |
| Church | 43 (3) | 40 (3) | - | 5 | 177 (22) | 176 (22) | - | 8 | 10 | 9 | 1 | 1 |
| Lancaster Gate, West | 5(1) | 5(1) | - | 15 | 13 | - | 2 | 1 | 1 | - | ||
| „ East | 6 | 1 | - | - | 18 | 16 | 2 | 2 | - | - | - | |
| Hyde Park | 9(1) | 8 (1) | - | 35 (2) | 31 (2) | 1 | 1 | 1 | ||||
Figures in parentheses indicate cases of erroneous diagnosis.
Notes.—Queens Park—A further death from Diphtheria in 1906 -case reported 1905.
Harrow Road—A further death from Enteric Fever in 1906—case reported 1905.
One case erroneously diagnosed as Enteric Fever ended fatally.
XVestbourne—One case erroneously diagnosed as Diphtheria ended fatally.
Church —Another death from Diphtheria in 1906—reported 1907, after registration of death.
One case erroneously diagnosed as Diphtheria ended fatally.
Another death from Scarlet Fever, diagnosis by inquest only.
Among the 46 cases treated at home, there were 3 deaths; and among the 136 removed
to hospital, 10 deaths. After making due corrections for the errors of diagnosis, &c., the
fatalities work out at 8.3 and 7.7 per cent. of the cases notified during the year respectively,
both being below the means. (Table 14.)