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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27
WHOOPING COUGH.
Whooping Cough: Fatality.
Per 100 known cases. Borough.
| 1909. | 1910. | 1911. | 1912. | 1913. | 1909-13. | 1914. | |
|---|---|---|---|---|---|---|---|
| Males | 6.4 | 9.4 | 7.2 | 5.9 | 4.4 | ||
| Females | 6.3 | 4.6 | 7.0 | 5.2 | 6.8 | ||
| Persons | 6.4 | 6.7 | 7.1 | 5.5 | 5.7 |
The mortality rate last year was 0.18 per 1,000 persons, as compared with 0.25 in 1913 and
an average (1909-13) of 0.24. (See below.) The rates for the Wards are shown in Table 21.
whooping Cough: Mortality.
Per 1,000 individuals of each sex and persons. Borough.
| 1909. | 1910. | 1911. | 1912. | 1913. | 1909-13. | 1914. | |
|---|---|---|---|---|---|---|---|
| Males | 0.28 | 0.36 | 0.36 | 0.18 | 0.21 | ||
| Females | 0.23 | 0.15 | 0.28 | 0.12 | 0.29 | ||
| Persons | 0.25 | 0.24 | 0.31 | 0.14 | 0.25 |
Table 11 shows that lower mortality rates were recorded in Kensington (0.04) and
Westminster (0.13).
Sex-Age Incidence.— Morbidity, fatality, and mortality rates based on the ages and sexes of
the patients are given in Table 22.
TABLE 22.
Whooping Cough: 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. | |
| 1914. | ||||||||||||||||
| Cases | 30 | 20 | 23 | 30 | 32 | 29 | 26 | 38 | 51 | 50 | 104 | 123 | 1 | 1 | — | — |
| Deaths | 8 | 5 | 3 | 4 | 1 | 5 | — | — | — | — | — | — | — | — | — | — |
| Morbidity. | ||||||||||||||||
| 1914 | 21.43 | 15.28 | 18.37 | 23.53 | 26.89 | 24.47 | 22.55 | 32.18 | 41.77 | 40.32 | 12.86 | 14.92 | 0.65 | 0.63 | — | — |
| 1913 | 17.48 | 27.26 | 21.75 | 36.34 | 24.80 | 29.21 | 29.31 | 27.13 | 31.73 | 36.66 | 16.72 | 18.29 | — | 0.52 | 0.02 | 0.03 |
| 1909-13 | 18.45 | 24.26 | 20.73 | 23.50 | 18.55 | 23.43 | 24.69 | 25.01 | 31.46 | 33.44 | 12.75 | 14.12 | 0.10 | 0.41 | — | — |
| Fatality. | ||||||||||||||||
| 1914 | 26.6 | 25.0 | 13.0 | 13.3 | 3.1 | 17.2 | — | — | — | — | — | — | — | — | — | — |
| 1913 | 16.0 | 18.5 | 25.9 | 22.2 | 6.9 | 11.5 | — | — | — | 4.5 | — | 1.3 | — | — | — | — |
| 1909-13 | 28.6 | 21.2 | 231 | 15.2 | 5.1 | 503 | 0.6 | 7.4 | 1.4 | 2.9 | VI | 0.6 | — | — | — | — |
| Mortality. | ||||||||||||||||
| 1914 | 571 | 382 | 239 | 314 | 0 83 | 422 | — | — | — | — | — | — | — | — | — | — |
| 1913 | 2.79 | 5.02 | 5.64 | 8.07 | 1.71 | 3.33 | — | — | — | 3.33 | — | 0.12 | — | — | — | — |
| 1909-13 | 5.27 | 5.13 | 4.79 | 3.58 | 0.94 | 1.25 | 0.15 | 1.87 | 0.46 | 0.93 | 0.14 | 0.09 | — | — | 0.01 | 0.02 |
Hospital Isolation.— In the early part of last year three patients suffering with whooping
cough, were admittted to one of the hospitals of the Metropolitan Asylums Board. After the
middle of June, however, the Board were unable to receive any further cases of this disease.
Seventeen patients received treatment in other institutions (including 11 in the Paddington
Infirmary). Among the 21 cases treated in institutions there were 9 deaths, equivalent to a
fatality of 42.8 per cent.; while the deaths among the patients nursed at home numbered 17,
giving a fatality of 3.1. (See below.)
Whooping Cough : Fatalities.
Per 100 cases.
| 1914. | 1913. | 1912. | 1911. | |
|---|---|---|---|---|
| At home | 4.0 | 4.2 | 6.7 | |
| In institutions | 29.6 | 21.4 | 14.2 |