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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 1908

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

Published
1909
Author
Dudfield, Reginald.
Pages
104
Tables
112

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112 tables in this report

  • Page 1
    Estimated Population. 1908.
  • Page 2
    TABLE 1. Meteorological Elements.
    Means at 9 a.m.Extreme Temperatures.Rain.Sunshine.
    Barometer reduced to sea levelThermometer.Shade.Max. in Sun.Min. on Grass.Depth of, Inches.No. of Days.Number of Hours.Number of Days.
    Dry Bulb.Wet Bulb.Maximum.Minimum.
    f.°f.°f.°f.°f.°f.°h.m.
  • Page 4
    TABLE 2. Births. Paddington. Corrected as fully as possible.
    All Births.Illegitimate Births.
    Corrected Totals.Birth Rates.Corrected Totals.Percentage of all Births.
    Per 1,000 persons.Per 1,000 females. aged 15-45 years.
    1908.1907.1908.1907.1908.1907.
  • Page 4
    TABLE 3. Births and Birth-Ratfs.
    Births Registered, 1908*Birth Rates.
    Per 1,000 persons.Per 1,000 females, 15-45 years.
    1908.1903-07.1908.1903-07.
  • Page 6
    TABLE 4. Notifications. Padoington. Corrected for duplicate certificates only.
    Smallpox.Diphtheria.Membranous Croup.ErysipelasFevers.Totals.
    Scarlet.Enteric.Continued.Puerperal
  • Page 7
    TABLE 5. Morbidity Rates.* Metropolis and Districts Circumjacent to the Borough.
    Paddington.London.Kensington.Westminster.Marylebone.Hampstead.Willesden.
    1908Mean 1903-71908Mean 1903-71908Mean 1903-71908Mean 1903-71908Mean 1903-71908Mean 1903-71908Mean 1903-7
  • Page 7
    TABLE 6. Notifications. Sex-Age Distribution.
    Ages. (Years.)Smallpox.Diphtheria.Membranous Croup.Erysipelas.Fevers.
    Scarlet.Enteric.Continued.Puerperal.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.F.
  • Page 8
    TABLE 7. Notifications. Ward Distribution.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancast West.er Gate, East.Hyde Park.
  • Page 9
    TABLE 8. Nett Totals of Deaths and Mortalities.
    Deaths, All causes, all ages. 1908.Mortality rates per 1,000 individuals.
    1908.1903-07.
    Males.Females.Persons.Males.Females.Persons.Males.Females.Persons.
  • Page 10
    TABLE 9. Sex-Age Mortality Rates. Per 1,000 individuals in each Sex-Age Group.
    Sex.Age.Period.Borough.Wards.
    Queen's Park.Harrow Rd.Maida Vale.Westbourne.Church.Lancaster GateHyde Park.
    West.East.
  • Page 11
    TABLE 10. Mortality Rates. Metropolis and Districts circumjacent to the Borough.
    Period.All CausesSmallpox.MeaslesScarlet Fever.Diphtheria.Whooping Cough.Enteric FeverDiar. rhœal Dis.Phthisis.Other Tub. Dis.Cancer.Infantile Mortality.
  • Page 11
    TABLE 11. Corrected Mortality Rates.
    Standard Rate.Corrected Rate, 1908.Excess ( + ) Defect ( —)Mean Corrected Rate, 1903.07.Increase (+) Decrease( —)
  • Page 12
    Smallpox. Uncorrected Returns.
    Metropolis.Extra-Metropolitan Districts. A
    Quarters—1.2.3.4.Year.r l.2.3.4.Year.
  • Page 12
    Vaccination Returns.
    Births.Successfully Vaccinated.Insusceptible of Vaccination.Died Unvaccinated.Per cent. of Births. Cols. 2, 3, & 4.Vaccination Postponed.Certificates under the . Act.Remainder.Per cent, of Births. Cols. 6, 7, & 8.
  • Page 13
    Diphtheria.
    No. o1908.1907.1906.1905.1904.
  • Page 14
    TABLE 12. Notifications in each Quarter of the Year.
    Borough.Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 15
    TABLE 13.
    Diphtheria (including Membranous Croup).Scarlet Fever.Enteric Fever (including Continued Fever).
    Cases.Deaths.Cases.Deaths.Cases.Deaths.
    Total Reported.Removed toHospital.At Home.InHospital.Total Reported.Removed toHospital.At Home.InHospital.Total Reported.Removed toHospital.At Home.InHospital.
  • Page 15
    TABLE 14.
    Diphtheria.Scarlet Fever.Enteric Fever.
    1908.Mean. 1903-07.1908.Mean. 1903-07.1908.Mean. 1903-07.
  • Page 16
    Scarlet Fever.
    1908.1907.1906.1905.1904.
  • Page 17
    TABLE 15.
    Diphtheria.Scarlet Fever.Enteric Fever.
    Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.
    1908.Mean. 1903-07.1908.Mean. 1903-07.1908.Mean. 1903-07.
  • Page 19
    TABLE 16. Childbed Mortality.
    Puerperal Fever.Mortality per 1,000.
    Puerperal Fever.Accidents & Diseases of Parturition.Total in Childbed.
    Morbidity per 100 Births.Fatality per 100 Cases.Births.Women,Aged 15-45 yrs.Births.Women,Aged 15-45 yrs.Births.Women,Aged 15-45 yrs.
  • Page 20
    TABLE 17. Tuberculous Diseases.
    Deaths.Mortality Rates.
    1908.1908.1903-07.
    Males.Females.M.F.P.M.F.P.
  • Page 20
    TABLE 18.
    Phthisis.Other Tuberculous Diseases.
    Deaths, 1908.Mortality.Deaths, 1908.Mortality.
    1908.1903-07.1908.1903-07.
  • Page 21
    Pulmonary Tuberculosis.
    Ages0—15—20—25—35—45—55—65—75—
  • Page 21
    Other Tuberculous Diseases.
    Ages0—1—5—10—15—20—25—35—45—55—65—
  • Page 23
    Housing of Persons Dying of Pulmonary Tuberculosis.
    No. of rooms occupied.Total Occupants (persons, all ages).
    12345678910
  • Page 24
    Ages of Patients (" Consumptives ") reported during 1908.
    Ages.5-10-15-SO-25-35-45-55-65Totals.
  • Page 24
    The occupations of the patients are given below. The table cannot be fairly compared with the corresponding table given previously for persons dying of the disease. In future reports the occupations of the latter will be omitted, and more attention be given to those of patients known during life.
    Occupation.New cases reported, 1908.All survivors at end of 1908.Occupation.New cases reported, 1908.All survivors at end of 1908.Occupation.New cases reported, 1908.All survivors at end of 1908.
    M.F.M.F.M.F.MF.M.F.M.F.
  • Page 25
    Housing of "Consumptives" Reported during 1908.
    No. of rooms occupied.Total Occupants (persons, all ages).
    12345678910
  • Page 25
    A comparison of the housing table for living cases with that for deaths, shows that the conditions at decease were slightly worse, and may be taken as an indication of the deterioration of home surroundings which results from the continued incapacity due to the
    disease.Number of Rooms to a tenement.Percentages residing in each class of Tenement. " Consumptives."Whole Borough, 1901.Average number of persons per Room. " Consumptives."Whole Borough, 1901.
    Living.Dead.Living.Dead.
  • Page 27
    duration has not been calculated from the figures given in the table.
    Duration of Disease.Males.Females.
    0—5—10—15—25—35-45—55—65—All Ages.0—5—10—15-25—35—45—55—65—All Ages.
  • Page 29
    TABLE 19. Rates Corrected for Age and Sex. Based on London Mortality experience.
    Percentage of total population (Census 1901).Phthisis Pulmonalis.Cancer.
    Persons per acre." Overcrowded."Living in! homes of less than 5 rooms.Standard Rate.Fully Corrected Rate.Standard Rate.Fully Corrected Rate.
    1908.Mean. 1903.07.1908.Mean. 1903.07.
  • Page 30
    TABLE 20. Deaths from "Cancer." 1908.
    Seat of Disease.Carcinoma.Cancer.Epithelioma.Scirrhus.SarcomaMalignant Disease.Other Forms.All Forms.
    M.FM.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 31
    A scrutiny of the enquiry cards reduced the total number of cases of measles to 779, excluding 28 cases of german measles, not always distinguished in the weekly analysis.
    Quarters1.2.3.4.Year
    Uncorrected.Corrected.
  • Page 31
    The 779 cases occurred in 460 houses, giving an average of 1.6 cases per house, as compared with 1.9 in 1907, and 1.8 in 1906. The frequency of multiple cases in each of the six years, 1903-08, is indicated below:—
    1908.1907.1906.1905.1904.1903.
  • Page 31
    Measles.
    Fatality at all ages, per 100 cases.
    1908.1907.1906.1905.1904.1903.
  • Page 32
    TABLE 21. Measles.
    0—1—2—3—4—5—13—15—
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 33
    TABLE 22. Measles. Ward Distribution of Cases and Deaths.
    1903.1904.1905.190C.1907.1908.Mean Fatality, 1903-07.
  • Page 33
    TABLE 23.
    Measles.Whooping Cough.
    Standard Rate.Corrected Rate.Standard Rate.Corrected Rate.
    1908.1903.07.1908.1903.07.
  • Page 34
    The variations in the mortality recorded in the different Wards are shown below.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 34
    The numbers of cases reported in each quarter of the past six years are given below.
    Quarters1.2.3.4.Year.
    Uncorrected.Corrected.
  • Page 34
    The secondary cases numbered 69, equal to 40.5 per cent. of the total.
    1908.1907.1906.1905.1904.1903.
  • Page 34
    whooping c ough.
    Fatality per cent. of cases.
    1908.1907.1906.1905.1904.1903.
  • Page 35
    TABLE 24. Whooping Cough. Ward Distribution of Cases and Deaths.
    1903.1904.1905.1906.1907.1908.Mean Fatality, 1903-07.
  • Page 35
    TABLE 25. Whooping Cough.
    0-1-2-3-4-5-13-15-
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 36
    That the time of year has an influence on the mortality from whooping cough similar to that noted in the case of measles, is evidenced by the following figures:—
    QuartersPercentage Distribution of Cases.Fatality Year.
    1.2.3.4.
  • Page 36
    Whooping Cough. Mortality rates, per 1,000 persons.
    Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 36
    One death only (from chickenpox) occurred among the cases reported.
    Quarters1.2.3.4.Year.
  • Page 37
    TABLE 26.
    Epidemic Influenza.Respiratory Diseases.Alcoholism.Cirrhosis of Liver.Suicide.
    1908.1903-7.1908.1903-7.1908.1903-7.1908.1903-71908.1903-7.
  • Page 37
    Mortality per 1,000 persons.
    Borough.Oueen's P-\rk.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 39
    TABLE 27.
    Infantile Mortality.Proportional Mortality.
    Males.Females.Persons.Persons.
    1908.1907.1906.1905.1908.1907.1906.1905.1908.1907.1906.1905.1908.1907.1906.1905.
  • Page 40
    TABLE 28. "Hopeless Births."
    Days.Weeks.Month.Total.
    0—1—2—3—4—5-6—1—2—3—1—2m.f.p.
    m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.m.f.M.f.m.f.
  • Page 40
    The whole of the decrease in mortality occurred among children surviving the first month of life.
    1908.1903-07.Lives gained (—). Lost ( + ).
    M.F.M.F.M.F.
  • Page 41
    mortality of childhood. 4
    1908.1903-07.Lives gained (-). Lost ( + ).
    Group.M.F.M.F.M.f.
  • Page 41
    Infantile Mortality. Per 1,000 Births registered within the Borough.
    1908.1903-07.
    Group.M.F.M.F.
  • Page 42
    TABLE 29. I nfantile M ortality In Special Insulœ.
    Ward.1908.Infantile Mortality.
    Births.Deaths, 0—1.1908.1907.1906.1905.
  • Page 42
    TABLE 30.
    No. of Deaths.Mortality Rates.
    Combined Insulœ.Rest of Borough.Combined Insulcœ.Rest of Borough.
  • Page 43
    Infantile Mortality. Fully corrected.
    Legitimate.Illegitimate.
  • Page 43
    Deaths of Illegitimate Children.
    1908.
    Ages (yrs.)Males.Females.Persons.
  • Page 44
    Mortality rates per 1,000 persons.
    Ages
    1-2-3-4-5
  • Page 44
    TABLE 31.
    Ages (Years).
    1-2-3-4-5
    1908.Averages 1903-07.1908.Averages 1903-07.1908.Averages 1904-07.1908.Averages 1905-07.
  • Page 45
    TABLE 32.
    Ages (Years)
    1-2-3-4
    1908.1907.1900.1908.1907.1908.
    M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 46
    Method of Feeding.
    Age of infant.Breast.Breast, etc.Bottle.Not stated.Totals.
  • Page 48
    TABLE 33. Inquests Held.
    1908.Averages, 1903-07.
    Males.Females.Males.Females.
  • Page 48
    Percentages of all. Deaths.
    1908.1903-07.1908.1903-07.
  • Page 48
    Rate-maintained—
    Deaths.Percentages of all Deaths.
    1908.1908.1903-07.
  • Page 49
    TABLE 34. Report of the Work of the District Inspectors during the year 1908.
    Inspection of Dwelling Houses.Sanitary Works completed in Dwelling Houses.To Regulate Keeping of Animals.
    Drainage, &c.Water Supply.Dust Receptacles.Miscellaneous.
    Quarters.No. of Complaints received."House-to-House."On Complaint or after Illness.Cellar Dwellings.Re-inspection of all kinds.Entire Reconstruction.Drains Relaid, Trapped, or VentilatedWaste Pipes Disconnected.Rain-water Pipes Disconnected.W.C's., New Provided, Repaired, &c.Soil Pipes Ventilated.Services Separated.Supplies Reinstated.Cisterns, New, Provided.Cisterns Cleansed, Repaired, &c.Cistern Overflows Disconnected.New, Provided.Repaired, &c.Drains Cleared, Flushed, &c.Houses or Rooms Cleansed, Whitewashed, &c.Cases of Overcrowding Abated.Cellar Dwellings Closed.Yards and Areas Paved and Drained.Manure Receptacles Reconstructed, &c.Accumulations Removed.Improperly-kept Removed.
  • Page 50
    The total number of visits of all kinds by the whole Staff in each quarter of the past three years is given below—
    Quarters1st2nd3rd4th
  • Page 51
    Mortuaries .—During the year 292 bodies were deposited at the Mortuaies,2 more than in 1907. (See below.)
    Paddington Green.Kensal Road.
  • Page 52
    TABLE 35.
    Notified Diseases.Non-notified Diseases.
    Scarlet Fever.Diphtheria.Measles.Chicken Pox.Whooping Cough.
    P.A.P.N.A.N.R.P.A.P.N.A.N.R.
  • Page 53
    School Closures.
    Closure.
    School.Class-room.Date of.Duration ofDisease.
  • Page 53
    "Unprotected" Children Excluded.
    Exclusion.
    School.Class-room.Date of.Duration of.Disease.
  • Page 55
    1,300 houses on the Estate have been re-drained since the work was commenced in 1902. The systems for the following blocks were dealt with during the past year.
  • Page 56
    TABLE 36. Smoke Observations.
    Address.Business.Chimney Shaft of
  • Page 56
    In 100 hours observations.
    19081907190619051904
  • Page 57
    From other district 359 (385 in 1907) addresses were received. (See below).
  • Page 58
    TABLE 37. Factories, Workshops, and Work-places. 1908.
    No. of Premises.No. of Rooms.Employees.
    Women.Young Persons.Men.Totals.
  • Page 59
    TABLE 38. Inspections of Workshops, &c. 1908. See also Table VIII., Appendix A.
    1908.1907.
  • Page 60
    Water-closet Accommodation.
    1902.1904.1906.1907.1908.
  • Page 61
    The housing conditions in the premises added to the Register were as below:—
  • Page 62
    Overcrowding, at Registration.
  • Page 62
    TABLE 39. Numbers of Tenements and Inhabitants therein. Registered during 1908.
    Rooms to Tenement.1234567
    TP10TP10TP10TP10TP10TP10TP10
    10P10p10P10P10P10P10p
  • Page 62
    The table may be summnarised thus:—
    Tenements of—Total.Occupants.Average persons per room.
    Houses registered 1908.Borough Census 1901.
  • Page 63
    TABLE 40. Sanitary Defects Remedied in Registered Houses.
    1908.1907.
  • Page 64
    The distribution of occupants according to tenement was:—
    Per tenement.Per room.
    Registered tenements.Borough Census, 1901.
  • Page 64
    TABLE 41. Numbers of Registered Tenements (of less than five rooms) and Inhabitants therein. 1908.
    Rooms to Tenement.123456 7891011
    TP10TP10TP10TP10TP10TP10TP10TP10TP10TP10TP10
    10P10P10P10P10P10P10P10P10P10P10P
  • Page 64
    The increase in proportion of smaller tenements enumerated last year is shown by the following figures:—
    Rooms in tenement12345
  • Page 64
    At the same time, there has been some reduction in the average numbers of occupants per room:—
    Rooms in tenement12345
  • Page 65
    Overcrowding , 1908.
    Registration.Annual Cleansing.Other Visits.Totals.
  • Page 66
    TABLE 42.
    Registered Streets.Rest of Borough.
    1908.1907.1908.1907.
  • Page 67
    TABLE 43.
    " Clarendon Street Area."Rest of Borough.
    1908.1907.1908.1907.
  • Page 68
    Numbers of Empty Rooms.
    November, 1908.In unregistered houses.In registered houses.
  • Page 71
    TABLE 44.
    Total.Found Adulterated.Percentage Adulterated.
  • Page 72
    The following statement compares last year's amounts (fines and costs) with those received during the 5 vears, 1902-06.
    Health Cases.Adulteration Cases.
    £s.d.£s.d.
  • Page 72
    Adulteration Cases.
    190819071906190519041903
  • Page 73
    LEGAL PROCEEDINGS, 1908.
    Under Public Health (London) Act, 1891.Fines.Costs.
    Section 4.£s.d.£s.d.
  • Page 74
    LEGAL PROCEEDINGS, 1908.
    Londen Country Council (General Powers) Acts, 1904
    Section 20.£s.d.£s.d
  • Page 75
    SUMMARY OF LEGAL PROCEEDINGS DURING 1908. Under Sale of Food and Drugs Acts, 1875-1899.
    Fines.Costs.
    £s.d.£s.d.
  • Page 76
    TABLE I. V ital S tatistics of W hole D istrict during 1908 and T en P revious Y ears. L. G. B.
    Year.Population estimated to Middle of each Year.Births.Total Deaths Registered in the District.Total Deaths in Public Institutions in the District.Deaths of Nonresidents registered in the District.Deaths of Residents registered beyond the District.Nett Deaths at all Ages belonging to the District.
    Number.Rate*Under 1 Year of Age.At all Ages.
    Number.Rate per 1,000 Births registered.Number.Rate.*Number.Rate.*
    12345678910111213
  • Page 77
    TABLE II. Estimated Populations of and Numbers of Births and Deaths (both corrected) in Borough and its Wards. L. G. B.
    Year.Borough.Oueen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 78
    TABLE III. Causes of Death : Borough—Sex and Age Distribution. 1908. Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond the Borough. L. G. B.
    Cause of Death.Age at Death.All Ages.
    0—1—5—15—25—65 and upwards.
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.Persons.
    19081907
  • Page 79
    TABLE IV. Causes of D eath : A ll A ges, P ersons.— I n W ards. 1908. Corrected for Non-Residents dying within, and (as far as possible) for Residents dying beyond, the Borough. L.G.B.
    Cause of Death.Oueen's Park.Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate,Hyde Park.
    West.East.
  • Page 80
    TABLE V. D eaths in L ocal I nstitutions.
    Year.Paddington Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital.
  • Page 80
    TABLE VI. Causes of Deaths in Institutions. 1908.
    Causes of Death.Local Institutions.Deaths of Residents recorded beyond the Borough.
    Workhouse and Infirmary.St. Mary's Hospital.Children's Hospital.Lock Hospital, and Nursing Homes.Hospitals of Metropolitan Asylums Board.Special and General Hospitals.Lunatic Asylums.Poor Law Institutions.Elsewhere.
  • Page 81
    TABLE VII. Deaths of Infants under One Year. L. G. B.
    Groups.Weeks.Months.Totals, under One Year.
    0—1—2—3—0—1—2—3—4—5—6—7—8—9—10—11—19081903-07
    M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.M.F.
  • Page 82
    TABLE VIII. 1. — I nspection.
    Premises.Number of
    Inspections.Written Notices.Prosecutions.
  • Page 83
    2.—Defects Found.
    Particulars.Number of Defects.Number of Prosecutions.
    Found.Remedied.Referred to H.M. Inspector.
  • Page 84
    TABLE IX. PROCEEDINGS DURING 1908.
    Premises.Number of Places—Number of Inspections, 1908.Number of Notices, 1908.L.C.C.
    Number of Prosecutions, 1908.
    On Register at end of 1907.Added in 1908.Removed in 1908.On Register at end of 1908.
  • Page 85
    "Diarrheal Diseases."
    Ward.1908.Mean Rates. 1903-07.
    Deaths, (all ages.)Mortality.
  • Page 86
    have been tabulated weekly in comparison with the principal meteorological data. The quarterly and weekly averages are set out below.
    Mean TemperatureRainfall." Diarrhœal Diseases."
    Air. F°(Quarter). Earth. F°Average Weekly., in.Weeks Without.Average weekly No. of Deaths.
  • Page 87
    being under 2 years of age. Of the patients, 4 (1 male and 3 females) were under 1 month old, the age distribution of the 248 (in trimestral groups) being:—
    Months.Years.Totals.
    0—3-6—9—0—1—2
  • Page 87
    † This is a clear from the appended figures, which contrast the returns at ages under one year for 1908 in the two Boroughs.
    Ages (months)0—3—6—9—
    c.d.d.c.d.d.c.d.d.c.d.d.