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

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Paddington 1914

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

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38 CANCER.
The report for 1913 contained information as to the health conditions of 45 patients who
had been discharged from institutions before the end of that year. The further history of these
patients up to the end of the past year, together with the history of three others who could not
be traced in 1913, but who were found during 1914, is as follows:—Died, 6; removed and lost
sight of, 6; under treatment in institutions, 4; enlisted, 1; disease arrested, 1; state of health
of remaining 30 reported as, good in 13 instances, fairly good in 4 instances, and indifferent in
13 instances.
Uninsured Persons.—Thirteen patients (8 children and 5 adults) were recommended for
institutional treatment under the London County Council's Scheme, A of whom were admitted to
sanatoria and 8 were awaiting vacancies at the end of the year. The remaining case was not
proceeded with as the parents of the child declined the treatment.
Dispensary Treatment.—On July 28th the Council, after consideration of the Tuberculosis
Scheme submitted to them by the Public Health Committee, resolved to enter into agreements
with the Paddington Tuberculosis Dispensary and St. Mary's Hospital for the diagnosis and
treatment of patients living in the Borough. At the close of the year negotiations were still
proceeding.
The work of the Paddington Tuberculosis Dispensary was carried on as in the past. The
medical officer reports that during the year 900 patients made 7,231 attendances. New patients
numbered 651, and included 126 (males 56, females 70) who were found to be definitely suffering
with pulmonary tuberculosis, and 181 who were suspected to have the disease. In addition,
there were 55 patients with other forms of tuberculosis, making the total of 181 "definit" cases
(males 85, females 96), 84 (or 51.9 per cent.) being under the age of 15 years. The School for
Tuberculous Children which the Dispensary maintained at Poplar Square was closed at the end
of the year, most of the children being transferred to the Open Air School at Kensal House.
CANCER.
The deaths included under this heading numbered 211 last year, or 26 more than the
maximum previously attained. The figures for the preceding five years were:—185 in 1913,
175 in 1912, 167 in 1911, 165 in 1910, and 156 in 1909.
The mortality recorded during the past year was at the rate of 1'48 per 1,000 persons, as
compared with a rate of 128 in 1913, and an average of 1.19 for the five years 1909-13. The
mortality rates for the Wards are set out below. It will be noted that the rates were above the
averages in all Wards except Lancaster Gate, East, and Hyde Park, the Ward showing the
greatest excess (0.51) being Harrow Road.

Cancer: Mortality.

Corrected.Borough.

Queen's Park.Harrow Road.Maida Vale.Westbourne.Church.Lancaster West.Gate, East.Hyde Park.
19141.521.821.621.751.381.280.620.87
19131.111.201.701.691.190.630.85078
1909-131.031-311.501.271.091.00.-820.92

Table 11 shows that the rate recorded in Kensington last year (1.48) equalled that for the
Borough, but that the rates were lower in the remaining circumjacent districts, the lowest being
that for Willesden (0.92). Standardised mortality rates are given in Tables 12 and 13. As
stated in the previous report, the rates calculated by the Department (Table 13) permit a
continuous comparison to be made between the rates of the circumjacent districts and those of
the Wards of the Borough. It will be seen that among the districts the highest rate is that for
the Borough (1.27), and among the Wards that for Harrow Road (1.62).