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 1927
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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22
with 52 in the year 1926 and 22 and 33 in the years 1925 and 1924 respectively. In no case
was it found necessary to provide for home nursing by the district nurses, all bad cases being
treated in institutions. Provision was available in the hospitals of the Metropolitan Asylums
Board but no case of the disease was removed from Paddington to such institutions.
It will be noticed that the number of deaths was in excess of the number of cases notified.
This is explained by the fact that the disease was only notifiable for some eight months of the
complete year for which mortality is calculated and also by the fact some deaths occurred
outside the Borough (not notifiable) and other deaths were from causes classified for the purpose
of the death returns as diarrhoea and enteritis but not within the meaning of the terms "infective
enteritis " or "summer diarrhœa."
TUBERCULOSIS.
Tuberculosis of all kinds is notifiable, and particulars of the number of notification certificates
received during the year 1927 are set out in the tables appended hereto.
Owing to the fact that a case of tuberculosis may be notified in several boroughs or districts,
the number of notification certificates received is only a very imperfect guide to the amount
of tuberculosis in the Borough. There is also the consideration that notification is more strictly
enforced in some districts than in others. However, recent alterations in procedure tend to
make the number of cases on the tuberculosis register serve as a guide as to the real prevalence
of the disease. One can also take the annual number of deaths as being a measure of prevalence.
This is probably the most exact method which can be used at the present time.
From pulmonary tuberculosis there were 96 deaths in 1927, and from other tuberculous
diseases there were 22 deaths.
The number of deaths from tuberculosis of all kinds was 125 in 1926, and 118 in 1927 In recent years the numbers of deaths were as follows :—
| 1919 | 133 | 1924 | 149 |
| 1920 | 146 | 1925 | 116 |
| 1921 | 125 | 1926 | 125 |
| 1922 | 143 | 1927 | 118 |
| 1923 | 127 |
Public Health (Tuberculosis) Regulations, 1912.
Summary of Notifications on Forms A and B received during the year 1927.
| Tuberculosis of the Lungs. | Other Tuberculosis. | |||||
|---|---|---|---|---|---|---|
| Male. | Female. | Total. | Male. | Female. | Total. | |
| Primary Notifications— | ||||||
| 0–1 year | – | – | – | – | 3 | 3 |
| 1–5 years | – | – | – | 17 | 14 | 31 |
| 5–10 „ | – | 2 | 2 | 41 | 25 | 66 |
| 10–15 „ | 1 | 1 | 2 | 7 | 8 | 15 |
| 15–20 „ | 10 | 13 | 23 | 5 | 8 | 13 |
| 20–25 „ | 8 | 28 | 36 | 5 | 5 | 10 |
| 25–35 „ | 30 | 25 | 55 | 1 | 3 | 4 |
| 35–45 „ | 27 | 17 | 44 | 2 | 2 | 4 |
| 45–55 „ | 22 | 10 | 32 | 2 | 3 | 5 |
| 55–65 „ | 8 | 2 | 10 | – | 1 | 1 |
| 65 years and over | 3 | 2 | 5 | – | 2 | 2 |
| Total | 109 | 100 | 209 | 80 | 74 | 154 |
| Cases re-notified | 71 | 62 | 133 | 13 | 11 | 24 |
| Total Notifications on Form A | 180 | 162 | 342 | 93 | 85 | 178 |
| Primary Notifications by School Medical Officers— | ||||||
| 0–5 years | – | – | – | – | 1 | 1 |
| 5–10 „ | – | – | – | 6 | 5 | 11 |
| 10–15 | – | – | – | 1 | 1 | 2 |
| Cases re-notified | 1 | 1 | 2 | 4 | 1 | 5 |
| Total Notifications on Form B | 1 | 1 | 2 | 11 | 8 | 19 |