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

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Paddington 1945

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

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notification of births.—Notifications were received relating to 2,762 births occurring in Paddington, 2,681 being
live births, and 81 stillbirths. Medical practitioners sent 769 notifications, midwives 1,958, maternity assistants 27,
other persons 6, and parents 2. Further analysis shows that 1,730 notifications were sent by Paddington Hospital,
724 by St. Mary's Hospital, and 37 by Nursing Homes. A comparison of the Notification Register with the Returns
supplied by the Registrars shows that the of 2,642 births registered during 1945, only seven were not notified.
marriages.—The number of marriages solemnized in the Borough was 1,557, being a rate of 31.2 persons per 1,000
of the population. This is an increase of 370 marriages over the number solemnised in 1944, when the rate was 24.6.

bacteriological examinations.—The number of examinations made in connection with infectious disease was 400, classified as follows :—

Disease.Examinations.Positive Results.
Diphtheria21914
Typhoid Fever1
Scarlet Fever107
Dysentery112
Tuberculosis15915
40038

water supply .—This has been satisfactory throughout the year, and there is nothing untoward to report. Six
cases were reported by the Metropolitan Water Board of water supply being cut off owing to non-payment of water
rates; these were dealt with by the Department, and the supplies were reinstated in all the cases without delay.
venereal diseases.—In support of the Ministry of Health's publicity campaign, 915 bills were posted up
throughout the Borongh under the supervision of the Sanitary Inspectors, and 142 metal plates were affixed in the
Council's public conveniences and the conveniences attached to cinemas and public houses. Both the bills and plates
are kept under observation, and replaced when necessary.
diphtheria immunisation.—Nine hundred and seventy three children, including 146 school children, were fully
inoculated, and 264 partly inoculated, during the year. Of the estimated child population of 6,180 under 5 years of
age, 2,017 have been immunised (32.6%), and of the 8,540 children between the ages of 5 and 15 years, 6,034 have been
immunised (70.7%). This gives a percentage of 54.7% of children immunised under the age of 15 years.
whooping cough inoculation.—During 1945, 553 children were completely inoculated, and 102 cases were
not fully completed at the close of the year. The number of injections given was 2,207. On the advice of Dr.
Bulman, the then Acting Medical Officer of Health, it was decided towards the end of the year to discontinue inoculation
of childrenag ainst whooping cough, except to complete the cases remaining outstanding.
vaccination.—The latest return available is for the year 1944. This shows that of the 2,180 children whose births
were registered during that year, 56.9% were successfully vaccinated, and 10.4% were exempted on production of
statutory declarations. Insusceptibility, removals, not traced, etc., account for the remaining 32.7%.
tuberculosis.
Notification Register.—New cases comprised 224 of pulmonary tuberculosis and 21 of non-pulmonary tuberculosis.
The number of cases on the register at the end of the year was 910, against 842 at the end of the previous year. The
death rate for pulmonary tuberculosis showed a welcome decrease, being 0.59 as compared with 0.82 for the year 1944.
The death rate for all forms of tuberculosis was 0.68 (0.90 for 1944).

Dispensary Treatment.—

following are particulars of the work carried out at the Paddington tuberculosis Dispensary, Newton Road :—

No. of patients examined for 1st time (excluding contacts)935
No. of above found tuberculous212
No. of contacts examined223
No. of contacts found tuberculous6
No. of attendances at Dispensary7085
No. of visits by Tuberculosis Officers201
No. of visits by Tuberculosis Nurses3538
No. of cases on Dispensary Register at end of year887
No. of artificial pneumothorax refills given1685
No. of X-Ray examinations made2373
No. of specimens ofsputum examined742

Tuberculosis Care Committee.—The Committee met periodically during the year, and was able to provide assistance
to 11 patients from the Samaritan Fund which it administers.