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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58
TUBERCULOSIS.
instructive form. The only information of this character which can be submitted on this
occasion is the condensed tabulation of the occupations of the patients which is given in Table 38.
Mortality.
The total number of deaths during the year from all forms of tuberculosis was 186* (102
of males and 84 of females), as compared with 163 in 1912 and 212 in 1911. The rise and fall
in the numbers of deaths from these causes observed in alternate years—to which attention was
first directed in the report for 1912—is still to be observed, as may be seen from the figures
given below. The records obtained from the districts circumjacent to the Borough do not
exhibit this peculiarity to the same extent.

Table: Deaths from Tuberculosis:—All Forms. Borough.

Deaths from Tuberculosis:—All Forms. Borough.

19022131906216 (- 76)1910170 (— 34)
1903231 (+ 18)1907219 (+ 3)1911212 (+ 42)
1904218 (- 13)1908190 (- 29)1912163 (- 49)
1905292 ( + 74)1909204 (+ 14)1913186 (+ 23)

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The deaths from pulmonary tuberculosis (see beloiv) numbered 156, viz., 154 from "chronic
phthisis" and 2 from "acute." The number entered under the latter head shows a notable
reduction from the figures of the preceding two years. "Chronic phthisis," on the other hand,
shows an increase of 59 above the record for 1912 and 9 above that for 1911. As regards agedistribution
(persons, all forms), the only age-groups showing substantial increases are the four
groups covering ages from 60 to 80 years.

Table: Tuberculosis. Deaths of Residents : Borough.

Tuberculosis. Deaths of Residents : Borough.

Variety. Site.Ages.All Ages.Persons. All ages
0-5-10-15-20-25-30-35-40-45-50-55-60-65-70-75-80-1913.1912.1911.
Pulmonary :
Chronic PhthisiM.41. . .35781596759431...8715495145
F.1...27297412743324......67
Acute PhthisisM...............................1...............122218
F....................................................1
Acute MiliaryM.......................................................2105
F..........1......1..............................2
MeningesM.322..........................................7161715
F.43.........1.................................9
MesenteryM.1............................... . ................1253
F.1................................................1
Other Abdominal OrgansM.1. . ..............................................12310
F.1................................................1
SpineM.. . ............................1..................1221
F.1................................................1
JointsM.• . •...................................................146
F.........................1........................1
Other OrgansM...................l...1........................222...
F.......................................................
GeneralisedM....1............l..............................2338
F.1................................................1
TotalsM.9423571015106959431...102
F.93283108413744324......84
Persons—19131874118171819231313912671...186
191226824982715181588923......163
191131651612162025221717106432...212*

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* Thirty-five of the deaths were recorded without previous notification, viz., 18 from pulmonary tuberculosis
and 17 from other forms, 2 of the former and 7 of the latter occurring before February 1st, the day the Order of
1912 requiring their notification became operative. Four of the cases of pulmonary tuberculosis had been
reported to the medical officers of other districts. The disease was discovered at post-mortem examinations in
6 instances (3 of the examinations taking place on the Coroner's order). Four notifications of other forms of
tuberculosis were received after the deaths of the patients, such cases not being included in the total of 17
mentioned above.
Three deaths certified as due to pulmonary tuberculosis occurred in persons notified with other forms of the
disease—viz., laryngeal tuberculosis 2 cases, and tuberculous disease of the cervical lymphatic glands 1 case.