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 1929
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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13
THE PREVALENCE OF DISEASE.
The following diseases are compulsorily notifiable under certain conditions in Paddington:
Acute Encephalitis Lethargica.
Acute Influenzal Pneumonia.
Acute Polio-encephalitis.
Acute Polio-myelitis.
Acute Primary Pneumonia.
Acute Rheumatism.
Anthrax.
Cerebro-spinal Fever.
Chicken-pox.
Cholera.
Continued Fever.
Diphtheria or Membranous Croup.
Dysentery.
Erysipelas.
German Measles.
Glanders.
Hydrophobia.
Infective Enteritis or Summer Diarrhoea.
Malaria.
Measles.
Ophthalmia Neonatorum.
Plague.
Puerperal Fever.
Puerperal Pyrexia.
Relapsing Fever.
Scarlatina or Scarlet Fever.
Smallpox.
Tuberculosis.
Typhoid or Enteric Fever.
Typhus Fever.
The following table summarises the cases of notifiable diseases notified in the years 1919
to 1929:—
Analysis of Notification Certificates (Uncorrected for Errors in Diagnosis).
| 1919. | 1920. | 1921. | 1922. | 1923. | 1924. | 1925. | 1926. | 1927. | 1928. | 1929. | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Acute Encephalitis Lethargica | (a) 3 | 2 | 7 | 2 | 3 | 12 | 7 | 4 | 4 | 1 | 5 |
| „ Influenzal Pneumonia | (a) 87 | 45 | 27 | 72 | 33 | 87 | 88 | 76 | 107 | 59 | 135 |
| „ Primary Pneumonia | (a) 83 | 96 | 105 | 254 | 302 | 369 | 265 | 184 | 183 | 202 | 247 |
| „ Polio-encephalitis | 5 | 2 | 1 | — | 2 | 4 | 3 | 3 | 1 | 1 | 1 |
| „ Polio-myelitis | 3 | 4 | 3 | 1 | |||||||
| „ Rheumatism | — | — | — | — | — | — | _ | — | (a) 34 | 76 | 52 |
| Anthrax | — | — | 1 | 1 | — | — | — | 1 | 1 | — | — |
| Cerebro-spinal Fever | 7 | 1 | 2 | 2 | 1 | 1 | 5 | 5 | 3 | 4 | 6 |
| Chicken-pox | — | — | — | 22 | 465 | 395 | 459 | 599 | 461 | 567 | 382 |
| Continued Fever | — | — | — | — | — | — | — | — | 2 | 10 | 3 |
| Diphtheria | 255 | 461 | 442 | 401 | 219 | 278 | 336 | 462 | 367 | 302 | 311 |
| Dysentery | (a) 3 | 1 | 2 | — | 2 | 1 | — | — | — | — | — |
| Erysipelas | 76 | 81 | 83 | 77 | 54 | 69 | 64 | 76 | 90 | 90 | 69 |
| German Measles | 132 | 71 | 83 | 144 | 48 | 458 | 375 | 124 | 78 | 109 | 1,163 |
| Infective Enteritis or Summer Diarrhoea | — | — | — | — | — | — | — | — | (a) 6 | 20 | 63 |
| Malaria | (a) 64 | 24 | 7 | 5 | 2 | 9 | 1 | 1 | 2 | 3 | — |
| Measles | 1126 | 1356 | 80 | 1973 | 324 | 2757 | 879 | 1738 | 154 | 2862 | 210 |
| Membranous Croup | 4 | 3 | 3 | — | 1 | 2 | 1 | 1 | 2 | 4 | 6 |
| Ophthalmia Neonatorum | 30 | 29 | 34 | 15 | 22 | 18 | 23 | 16 | 15 | 24 | 9 |
| Puerperal Fever | 15 | 15 | 16 | 8 | 5 | 9 | 15 | 14 | 7 | 5 | 4 |
| Pyrexia | — | — | — | — | — | — | — | (a) 17 | 34 | 32 | 42 |
| Scarlet Fever | 261 | 502 | 827 | 529 | 323 | 290 | 264 | 199 | 320 | 519 | 323 |
| Small-pox | — | — . | — | — | l | — | — | — | — | 5 | 3 |
| Tuberculosis—Total | 391 | 383 | 335 | 312 | 338 | 379 | 400 | 356 | 381 | 321 | 335 |
| Pulmonary | 284 | 277 | 244 | 204 | 222 | 242 | 231 | 218 | 212 | 196 | 242 |
| Other Forms | 107 | 106 | 91 | 108 | 116 | 137 | 169 | 138 | 169 | 125 | 93 |
| Typhoid or Enteric Fever | 10 | 19 | 13 | 8 | 13 | 15 | 18 | 12 | 16 | 25 | 19 |
(a) First Year of Notification.
The following table furnishes an analysis of some of the notifiable diseases according to
age, sex and ward of the Borough:—
1929. Notifications.
A.—Ward Distribution.
| Queen's Park. | Harrow Road. | Maida Vale. | Town. | Church. | Westbourne. | Lancaster Gate. | Hyde Park. | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| West. | East. | |||||||||||||||||||||
| M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | |||||
| Diphtheria and Memb. Croup | 8 | 14 | 26 | 30 | 36 | 41 | 8 | 10 | 24 | 30 | 23 | 28 | 4 | 8 | 6 | 3 | 8 | 10 | ||||
| Typhoid and Continued Fever | — | 1 | — | 1 | 1 | 2 | — | 1 | 1 | 4 | 1 | 1 | 2 | I | — | 4 | — | 2 | ||||
| Erysipelas | 5 | 3 | 3 | 1 | 2 | 2 | 2 | 1 | 4 | 11 | 7 | 14 | 4 | 1 | 2 | 2 | 1 | 4 | ||||
| Ophthalmia Neonatorum | — | — | — | — | 2 | 1 | 1 | — | 1 | 1 | 1 | — | 1 | — | — | — | 1 | — | ||||
| Pneumonia—A. Influenzal | 7 | 6 | 13 | 5 | 12 | 19 | 2 | 4 | 10 | 5 | 18 | 11 | 3 | 2 | 5 | 3 | 4 | 6 | ||||
| „ A. Primary | 11 | 5 | 23 | 11 | 15 | 6 | 10 | 7 | 53 | 31 | 36 | 24 | 4 | 3 | 2 | 1 | 5 | — | ||||
| Puerperal Fever | — | 1 | — | 1 | — | 1 | — | — | — | — | — | — | — | — | — | 1 | — | — | ||||
| „ Pyrexia | — | 2 | — | 3 | — | 11 | — | 2 | — | 10 | — | 10 | — | 1 | —. | 1 | — | 2 | ||||
| Scarlet Fever | 17 | 13 | 26 | 28 | 16 | 25 | 12 | 16 | 24 | 44 | 28 | 38 | 8 | 7 | — | 3 | 10 | 8 | ||||
B. —Sex—Age Distribution. Borough.
| 0— | 1— | 2— | 3— | 4— | 5— | 10— | 15— | 20— | 35— | 45— | 65— | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M. | F. | M | F. | M | F | M | F | |
| DDiphtheria and Memb. Croup | 2 | 3 | 5 | 6 | 12 | 15 | 9 | 11 | 14 | 14 | 70 | 61 | 18 | 13 | 1 | 12 | 7 | 31 | 2 | 5 | 3 | 2 | — | 1 |
| TTyphoid and Continued Fever | — | — | — | — | — | — | — | — | — | — | — | 2 | 1 | — | — | 1 | 2 | 11 | 1 | 1 | 1 | 2 | — | |
| iErysipelas | 1 | 1 | 2 | — | — | 1 | — | — | — | — | — | 1 | — | 3 | 3 | 2 | 5 | 7 | 7 | 5 | 8 | 13 | 4 | 6 |
| PPneumonia—A. Influenzal | 1 | 2 | 1 | — | — | 2 | 2 | 2 | 3 | 1 | 3 | 7 | 2 | — | 5 | 1 | 13 | 14 | 16 | 9 | 21 | 15 | 7 | 8 |
| „ A. Primary | 21 | 14 | 19 | 11 | 7 | 11 | 2 | 5 | 8 | 4 | 19 | 14 | 5 | 2 | 8 | 1 | 23 | 2 | 17 | 7 | 24 | 13 | 6 | 4 |
| SScarlet Fever | 1 | 1 | 2 | 6 | 5 | 8 | 8 | 8 | 8 | 20 | 55 | 64 | 27 | 25 | 12 | 12 | 18 | 29 | 3 | 8 | 2 | 1 | — | — |