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 1923
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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11
pneumonia.
In the tabulation given below the number of cases of influenzal pneumonia notified from each Ward is compared with the number of deaths from influenza, distinction being made between deaths with and without pulmonary complications. Of the 25 deaths due to influenza with pulmonary complications, all of which it is assumed should have been notified during life, 2 have to be excluded as the deceased persons were not in residence in the Borough at the time of their fatal illness.
| Queen's Park. | Harrow Road. | Maida Vale. | West-bourne. | Church. | Lancas West. | ter Gate East. | Hyde Park. | Borough. | |
|---|---|---|---|---|---|---|---|---|---|
| N. Influenzal Pneumonia | 3 | 4 | 7 | 7 | 10 | 1 | 1 | _ | 33 |
| D. Influenza— (a) | - | 4 (1) | 4 (1) | 3 (2) | 2 | 1 | 2 (1) | 1 | 17 (5) |
| - | 1 | 3 (x) | 1 | 1 | - | 1 | 1 | 8 | |
| (c) | 1 | 1 | 2 | 2 | — | - | - | 1 | 7 |
(x) 2 died in Eastbourne. Figures in parentheses, fatal notified cases.
N, Notified cases. D, Deaths, (a) With pneumonic complications.
(b) With other pulmonary complications.
(c) Without stated complications.
In the following table the seasonal distributions of notified cases and of deaths are compared in
connection with the sexes and ages of the patients. Of 11 deaths in males only 1 was notified, and of 14
in females, 4. The occurrence of 8 cases of influenzal pneumonia in persons under 25 without a single
fatal termination is remarkable, and an observation which requires to be followed up in future years
before it can be unreservedly accepted.
ACUTE INFLUENZAL PNEUMONIA: EPIDEMIC INFLUENZA.
Borough.
| Ages. | Jan. | Feb. | Mar. | Apr. | May. | J une. | July. | Aug. | Sept. | Or.t. | Nov. | Dec. | Year. | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | N. | D. | |||||||||||||||||||||||||||
| M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | F | M | f|m | F | M | F | M | F | ||
| 0- | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | |||
| 1— | — | — | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | —1 | — | — | 1 | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — | 3 | 1 | — | — | |
| 5— | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — |
| 10— | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — |
| 15— | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | —— | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — |
| 20— | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — |
| 25— | — | — | — | — | — | — | — | — | — | 1 | — | 2(1) | — | 1 | — | — | — | — | — | — | — | — | — | — | 1 | — | — | — | 1 | — | — | — | — | — | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | 2 | 4 | — | 2(1) |
| 35— | — | 3 | — | — | — | — | — | — | 2 | — | — | — | 1 | — | 1 | — | — | — | — | — | — | 1 | — | 1(1) | — | — | 1 | — | — | — | — | — | — | — | 1 | — | 1 | — | — | — | — | — | — | — | — | — | — | 1 | 5 | 4 | 3 | 2(1) |
| 45— | — | — | — | — | — | — | — | 1 | — | 1 | — | — | — | — | — | — | 1 | — | — | 1(1) | — | — | — | — | — | — | 1(1) | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | 3 | 1(1) | 2(1) |
| 55— | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | 1 | — | — | — | — | — | — | — | — | 1 | — | — | — | — | — | 2 | — | — | — | — | — | — | 1(1) | — | — | 1 | — | — | 1 | —— | 1 | 2 | 2 | 3 | 2(1) |
| 65— | — | — | — | 1 | — | — | — | — | — | — | — | 1 | — | — | 2 | —— | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | —— | 2 | 2 |
| 75—All ages | 1 | — | — | — | — | — | — | — | — | — | 1 | 2 | — | — | — | 1 | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | — | 1 | — | — | 1 | —— | 1 | — | 2 | 4 |
| 1 | 3 | 1 | i | 2 | — | 1 | 3 | 2 | 1 | 5(1) | 2 | 2 | 4 | 1 | 2 | 2 | — | 1(1) | 2 | 2 | — | 1(1) | 1 | 3(1) | — | 1 | — | — | — | 2 | — | 1 | — | 1 | 1 | — | 1(1) | — | — | 1 | 1 | 1 | 1 | 1 | 2 | 17 | 16 | 11(1) | ||||
N—Notified Cases. D—Deaths certified due to Epidemic Influenza with pneumonic or pulmonary symptoms (11a and l1b).
Figures in parentheses, numbers of deaths after notification.
Acute Primary*.—As will be seen from Table 3, there has been a continuous increase in the number
of cases reported in each of the years since 1919, when the disease was first made notifiable. Evidence
will be adduced to more than suggest that notification of this disease or diseases is still incomplete,
but it is undoubtedly much better than it was even a year ago.
Last year's cases (302) comprised 185 in males and 117 in females. If the 185 cases in males represented
the full number of cases in that sex, on an assumption of equal sex-incidence, the cases in
females should have been 252, or 135 more than the number recorded. From each of the two Lancaster
Gate Wards 4 cases were reported, the maximum from any Ward being 83 from Church. From
Harrow Road Ward 65 cases were reported, and from Westbourne 62.
More than half the reported cases were in individuals under 15 years of age, infants under 1 furnishing
37 cases (males, 23; females, 14), children aged 1-5 years, 91 (males, 51; females, 40), and those
aged 5-15, 52 (males, 32; females, 20). At ages over 45 there were 62 cases, 41 in males and 21 in
females.
* " Acute primary pneumonia " includes both broncho-pneumonia and lobar pneumonia when not secondary
to other disease.