London's Pulse: Medical Officer of Health reports 1848-1972
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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 1913
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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49
measles.
Measles : Fatality. Per 100 known cases. Borough.
| 1908. | 1909. | 1910. | 1911. | 1912. | 1913. | ||
|---|---|---|---|---|---|---|---|
| Males | 5.3 | 5.3 | 3.5 | 4.4 | 2.4 | 4.2 | |
| Females | 4.1 | 4.8 | 3.6 | 3.4 | 5.3 | ||
| Persons | 4.6 | 5.0 | 3.6 | 3.8 | 2.3 | 4.7 |
The mortality (deaths per 1,000 individuals of each sex and persons) was 0.41 last year, all
three rates being equal. The increase in fatality of attacks in females is reflected in the
increased mortality of that sex, 0.41 last year, as compared with an average of 0.27. Although
the fatality rates were higher last year than in 1910, the mortality rates were lower. (See below.)
The mortality rates recorded in the Wards are given in Table 32 (lowest section).
Measles : Mortality. Per 1,000 of all ages of each sex and person. Borough.
| 1908. | 1909. | 1910. | 1911. | 1912. | 1913. | ||
|---|---|---|---|---|---|---|---|
| Males | 0.31 | 0.29 | 0.61 | 0.44 | 0.26 | 0.41 | |
| Females | 0.20 | 0.46 | 0.19 | 0.41 | |||
| Persons | 0.25 | 0.26 | 0.52 | 0.35 | 0.22 | 0.41 |
The mortality rate for last year, obtained from the data published by the Registrar-General*
(Table 24), was 0.37 per 1,000 persons, which rate was exceeded by those of Kensington (0.48)
and Willesden (0.40). The lowest rate recorded last year was that of Westminster (014). The
rates were above the averages in about half the districts included in the table.
Sex-Age Incidence.—Table 33 has been prepared to show the variations in morbidity,
fatality, and mortality according to the sex and age of the patient. Considering the average
rates only as the best indications, it will be noticed that the maximum morbidity occurs at ages
4-5 years, the maximum fatality (and mortality) at ages under one year, and that those rates
fall very rapidly with each added year of age. Above the age of 13 years both fatality and
mortality are negligible.
TABLE 33. Measles : Sex-Age Distribution.
| 0— | 1— | 2— | 3— | 4— | 5— | 13— | 15— | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | |
| 1913. | ||||||||||||||||
| Cases ... | 40 | 47 | 74 | 81 | 78 | 67 | 90 | 85 | 96 | 104 | 185 | 209 | 15 | 23 | 12 | 24 |
| Deaths ... | 6 | 7 | 12 | 17 | 3 | 4 | 1 | 4 | — | 1 | 3 | 1 | - | - | - | — |
| Morbidity. | ||||||||||||||||
| 23.24 | 12.61 | 0.36 | ||||||||||||||
| 1912 ... | 36.56 | 30.69 | 67.5 | 70.03 | 66.45 | 54.54 | 62.35 | 5.45 | 83.83 | 85.39 | 30.18 | 37.26 | 0.53 | 2.06 | 0.13 | 0.25 |
| Fatality. | ||||||||||||||||
| 15.0 | 4.7 | — | — | — | — | — | ||||||||||
| 1912 ... | 11.5 | 12.2 | 6.2 | 8.1 | 3.6 | 4.3 | 1.2 | 1.1 | ||||||||
| – | – | – | ||||||||||||||
| Mortality. | ||||||||||||||||
| 5.02 | 9.66 | 13.73 | 2.56 | — | 0.83 | 0.36 | 0.12 | – | – | – | — | |||||
| 1912 ... | 4.21 | 3.69 | 4.16 | 5.70 | 2.40 | 2.37 | 0.75 | 0.82 | 0.74 | — | — | — | – | – | – | — |
| – | – | – | — | |||||||||||||
* The total number of deaths from measles according to his Quarterly Reports was 55, 4 less than the
total obtained by the Department.
H