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

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Paddington 1912

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

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SCARLET FEVER. 21
Two hundred and twenty-seven patients were removed to the hospital last year, or including
the 4 re-admitted after discharge, as recounted above, 231. (Table 15, page 29.) The proportion
of cases treated in hospital last year was 931 per of the notified cases, 1.5 per higher
than in 1911, and 2.6 per above the average for 1907-11. (Table 16, page 29.)
The deaths among the patients removed to hospital numbered 9 (including 2 "errors"), and
there was one death among the 17 patients treated at home. The total fatality (Table 16) of
the disease was at the rate of 3.4 per 100 cases, as compared with 8.0 per in 1911 and an
average of 9.7 per during 1907-11. Corrections for "errors" have been made in each case.
The fatality in hospital was 5.8 per (8.3 in 1911 and 14.2 during 1907-11), and that among
patients treated at home 3.2 per (8.0 in 1911 and 9 2 during 1907-11).
The 6 deaths recorded during the year occurred among the residents of the four northern
Wards of the Borough. (See Table 17, page 29.) Last year.s mortality rate in Maida Vale Ward
(0.09) was the only one in excess of the rate for the previous year, but that recorded in Queen.s
Park (0.12) was equal to the 1911 rate. In the latter Ward only was the rate for 1912 in
excess of the average for 1907.11.
According to the figures published by the Registrar-General, the mortality rate in the
Borough was 0.04 per 1,000, less than half the mean rate (0.09) for 1907.11. (See Table 13.)
The local rate, was less than half the rate (010) for the Metropolis. The rate recorded last year
in Kensington (0.03) was the only one below that of the Borough. In Hampstead the 1912 rate
(0 20) was above the mean for 1907.11 (0 09), that being the only instance in which last year.s
mortality was in excess of the average.
SCARLET FEVER.
Last year.s reported cases numbered 272, an increase cf 46 above the total for 1911
(Table 6), and the morbidity rate was 1.91 per 1,000 persons, as compared with 1.58 in the
previous year, and 332 the average for the five years 1907-11. The numbers of cases reported
in each of the last six years are given below.
Scarlet Fever.
1907. 1908. 1909. 1910. 1911. 1912.
Cases 579 681 629 258 226 272
Morbidity Rates per 1,000 persons 4.05 4.6 4.40 1.81 1.58 1.91
In London, as a whole, the morbidity rate was 2.50 per 1,000, 1.29 less than the mean (3.79)
for the years 1907-11 (Table 7), and 0.50 less than the rate (3.00) for the rest of England and
Wales (Table 10). From the figures given in Table 7 it appears that the rates recorded last
year in St. Marylebone (2.23) and Willesden (2.69) were in excess of the Borough rate (189,).
In all the districts included in that table last year.s rates were considerably below the
corresponding means.
In Table 8 the numbers of cases reported in each of the Wards during the six years 1907-12
are shown, and in Table 9 the totals for each quarter of last year are contrasted with the
average totals for the preceding five years. The morbidity rates (see below) were highest in
Queen.s Park (2.94) and Church (2.85) Wards. The disease was at a low level of prevalence
throughout the year in all parts of the Borough. Some anxiety was caused by the occurrence of
cases in three schools, viz., Campbell Street, St. Matthew.s, and St. Saviour.s, but there was no
SDread from those schools.

Scarlet fever. Morbidity Rates per 1,000 Persons.

Queen.s Park.Harrow Road.Maida Vale.Westbourne.ChurchLancaster Gate,Hyde Park.
West.East.
19122. 941.631.701.922.851.190.501.10
19111.552.961.630.301.380.330.501.48
1907-11.3.535.212.382.364.181.380.952.20