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

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Paddington 1911

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

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14
diphtheria.
rate was 0.08 in excess of the mean rate (1.09) for 1906-10. The following rates (per 1,000
persons) have been abstracted from the Report of the Local Government Board on Notification
already referred to:—
England 1.33
England, less London 1.22
Aggregate of County Boroughs, excluding London 1.47
The numbers of cases reported in each of the past six years in the individual Wards of
the Borough are given in Table 7, and in Table 12 the numbers recorded therein during each
quarter of the past year are compared with the average numbers for the like period. Last
year's total cases were above the averages in five of the Wards and below in three, viz.,
Westbourne, Church, and Hyde Park. The increased prevalence of the disease was limited to
the last quarter of the year.

TABLE 12.

Notifications. (Corrected for Duplicate Certificates only.)

WardsQueen's Park.Harrow Road.Maida Vale.West-bourne.Church.Lancaster Gate,Hyde Park.
West.East.
Year1911.1906-10.1911.1906-10.1911.1906-10.1911.1906-10.1911.1906-10.1911.1906-10.1911.1906-10.1911.1906-10.
Di phthe ria.
Quarters135611566669-26211
24210643375531-121
34499475651111-121
416617131159615105212-4
Year27174239242123253135967657
Scarlet Fever.
Quarters161416351411617524-51137
27202238818318729123512
37201540215231837142246
4527274510195231742141378
Year2581801583463148147132315491933

The numbers on which the foregoing observations are based are the totals reported,
allowance being made only for duplicate certification. Such totals included 16 cases which
were subsequently found to have been erroneously diagnosed.* The "errors" formed 11.3 per
cent, of the total cases reported, as compared with an average of 12.5 for the years 1906-10.
The proportions of errors noted in the individual Wards varied from zero in Lancaster Gate,
East, to 22 2 per cent, in Queen's Park. In Harrow Road the proportion was 11'9. Of the
remaining 152 cases which are to be presumed to have been correctly diagnosed, 7 were
"contracted in hospital" and followed preceding attacks of scarlet fever, 8 were apparently due
to infection contracted outside the Borough, 3 to the return home of patients from isolation
*The morbidity rate, after exclusion of "errors," was 1'04 per 1,000 last year, the corresponding average for
1906-10 being 0'95.