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

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Paddington 1907

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

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diphtheria. 13
there a material increase in the number of cases. (See Table 5). The numbers of cases
reported in each quarter from each Ward are given in Table 12, together with the average
numbers for the live years 1902-06. Last year's numbers for the first, second, and fourth
quarters were above the average, but only to comparatively small degrees. The figures for
Harrow Road and Westbourne Wards alone show any material changes.
Of the cases reported, 141 were primary and 19 (11.8 per cent. of all cases) secondary.
In 1906, 10 per cent., and in 1905, 7 per cent, of all the cases were secondary cases. The
frequency of multiple cases during the last four years is indicated in the appended
statement:—

Diphtheria.

1907.1906.1905.1904.
Houses with 2 cases131356
„ 3 „3115
„ 4 ,,---1
„ 5 ,,-1--

In 12 out of the 13 instances where 2 cases were reported from the same house
during the year, both cases were reported on the same day. In the household
with 3 cases, the second and third were "return cases" following the discharge of the
primary case from hospital. There were in all 8 "return cases" during the year, some of
them being included among the so-called primary cases. Four (4) of the primary cases
developed in hospital, and 7 other cases were believed to have been due to infection acquired
outside the Borough. The errors of diagnosis numbered 16. In four (4) instances the death
of the patient preceded the notification of the case.
The proportion of notified cases removed to hospital for isolation increased from 80.2 per
cent, in 1906 to 86.7 per cent, last year (Table 14), the numbers removed from each Ward
being given in Table 13. In comparison with the average for the preceding five years
(1902-06), last year's proportion shows a rise of 7*2 per cent. The fatality among cases
treated at home was 19.0 per cent., compared with an average of 16.5 per cent. (Table 14).
while the fatality among cases treated in hospital was 13.9 per cent., average 8.6 per cent.

TABLE13.

Number of Cases and Deaths belonging to each Ward.

1907.

Diphtheria.Scarlet Fever.Enteric Fever.
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 Park17 (2)17 (2)-28175-132-1
Harrow Road48 (6)42 (6)-6 (1)172 (9)162 (9)158(2)5(2)21.(1)
Maida Vale18 (2)16 (2)1576 (3)68 (3)-143--
Westbourne27 (1)20 (1)2387 (5)81 (5)-36(1)41-
Church32 (4)32 (4)-3(1)100 (7)100 (7)-37 (1)7 (1)--
Lancaster Gate, West6(1)3(1)1-137--21-1
„ East65--129--11-
Hyde Park53--3834--4(1)3(1)-

Figures in parentheses indicate case erroneously diagnosed.
Notes.—Queen's Park—One death from Diphtheria, included in table, not registered until 1908.
Harrow Road—One death from Diphtheria, included in table, not registered until 1908.
Maida Vale—One death from Scarlet Fever, not included in table. Case reported some years ago.
Church Ward — One death from Diphtheria, not included in table, was that of a patient reported in 1906.
Church Ward— One death from Scarlet Fever, included in table, registered 1908.