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

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Paddington 1908

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

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DIPHTHERIA. 15
The deaths from diphtheria reported during the year numbered 16, of which one was
that of a patient removed to hospital during 1907, and another that of a patient removed
during the past year as a case of scarlet fever. These deaths have been omitted from
that part of Table 13 which deals with diphtheria. Of the remaining 14 deaths, 3 took
place at home and 11 in hospital. The fatality of the disease was equal to 12*2 per cent,
of the cases, after deducting those erroneously diagnosed, and was 1*4 above the mean for
the preceding five years. The fatality among cases treated at home was 17*6 (mean, 12*0),
and among those treated in hospital 10'4 (mean, 105).

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.
Queen's Park11 (3)11 (3)-186 (6)81 (6)--5 (1)3(1)-_
Harrow Road44 (7)40 (7)13215 (5)204 (5)-66(1)5(1)-2
Maida Vale21 (3)16 (3)-374 (5)68 (4)--42--
YVestbourne27 (5)24 (5)2-104 (6)102 (6)-4(1)11--
Church24 (4)23 (4)-2152 (15)152 (15)-26 (1)6(1)-1
Lancaster Gate, West8(1)7 (1)--1615--4 (4)4(4)-KD
„ East6(1)4(1)-196--1 (1)1 (1)-
Hyde Park54-125(1)18 (1)--5 (1)3(1)--
Figures in parentheses indicate numbers of cases erroneously diagnosed.Diphtheria.-Two additional deaths from this disease in Harrow Road Ward : one in a patient admitted to hospital as a case of scarlet fever; the other a patient removed to hospital in 1907.

TABLE 14.

Diphtheria.Scarlet Fever.Enteric Fever.
1908.Mean. 1903-07.1908.Mean. 1903-07.1908.Mean. 1903-07.
Removed to Hospital*88.382.194.889.978.173.7
Fatality †
At Home17.612.01.333.3
In Hospital10.410.51.82.418.710.6
Total12.210.81.72.313.016.9
Mortality ‡0.100.090.080.070.020.04

* Per cent, of all cases reported.
| Per cent, of attacks, after correction for erroneous diagnosis.
| Per 1,000 persons—based on all recorded deaths.
The mortality due to diphtheria last year was at the rate of 0*10 per 1,000 persons,
showing an increase of 0-01 above the mean. (Table 14.) The mortality, corrected for
sex-age composition of the population, was 0T2, 0'27 less than the standard rate, but 0'01
above the mean. (Table 15.) In Hampstead and Willesden only were the corrected rates
lower than that of the Borough, the rate for the former district (0'09) being 0'01 above
the mean (0'08).