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 1914
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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measles.
The 393 cases occurred in 292 houses, giving an average of 13 cases per house, as compared
with 1.8 in 1913 and 1912. There were 101 secondary cases, equal to 25.7 per cent. of
the total cases reported, as compared with 45.2 per cent. in 1913 and 44.7 per cent. in 1912.
The distribution of attacks in houses with two or more cases is given below.
Measles: House Distribution. Borough.
| 1909. | 1910. | 1911. | 1912. | 1913. | 1914. | |
|---|---|---|---|---|---|---|
| Houses with 2 cases | 104 | 290 | 196 | 191 | 188 | |
| „ 3 „ | 55 | 164 | 97 | 108 | 89 | |
| „ 4 „ | 21 | 55 | 36 | 36 | 38 | |
| „ 5 „ | 9 | 22 | 13 | 15 | 6 | |
| „ 6 „ | — | 7 | 2 | 3 | 2 | |
| „ 7 „ | 1 | 6 | — | 3 | 1 | |
| „ 8 „ | — | 1 | — | 1 | 1 | |
| „ 9 „ | — | 1 | — | — | 1 | |
| „ 13 „ | — | — | — | — | 1 | |
| „ 18 „ | — | — | — | — | 1 |
Only 4 deaths (all of males) from this disease were recorded during the year, giving a
fatality per 100 known cases of 1.0 for persons and 2.4 for males. The mortality was 0 03 per
1,000 persons and 0.06 per 1,000 males. (See below.)
Measles: Fatality. Per 100 known cases.
Borough.
| 1909. | 1910. | 1911. | 1912. | 1913. | 1909-13. | 1914. | |
|---|---|---|---|---|---|---|---|
| Males | 5.3 | 3.5 | 4.4 | 2.4 | 4.2 | ||
| Females | 4.8 | 3.6 | 3.4 | 2.2 | 5.3 | ||
| Persons | 5.0 | 3.6 | 3.8 | 2.3 | 4.7 |
Measles: Mortality.
Per 1,000 of all ages of each sex and persons.
Borough.
| 1909. | 1910. | 1911. | 1912. | 1913. | 1909-13. | 1914. | |
|---|---|---|---|---|---|---|---|
| Males | 0.29 | 0.61 | 0.44 | 0.26 | 0.41 | ||
| Females | 0.21 | 0.46 | 0.28 | 0.19 | 0.41 | ||
| Persons | 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 11) was 0.02 per 1,000 persons, the rates for the circumjacent districts ranging from
0.01 in Marylebone to 0 08 in Kensington. It will be noted that these rates are all much below
those for 1913 and for the five years 1909-13.
Sex-age Incidence.— The variations in morbidity, fatality and mortality, according to the sex
and age of the patient, are shown in Table 20.
Hospital Isolation.— The admission of cases of measles to the hospitals of the Metropolitan
Asylums Board was suspended from the middle of June, owing to the increasing number of
scarlet fever patients requiring accommodation. No cases were recommended for admission
before that date. During the year 13 patients received treatment in other institutions (including
7 in the local Infirmary), that number being equal to 3.3 per cent. of the total known cases.
There were 4 deaths among the patients admitted to institutions, representing a fatality of 30.7
per cent. No deaths occurred among the patients kept at home. The appended figures show