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

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City of Westminster 1903

[Report of the Medical Officer of Health for Westminster, City of]

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31
Scarlet Fever.— There were 12,531 cases notified in London in 1903,
as compared with 18,252 in 1902, and 352 in the City, as compared
with 475 in each of the two previous years. These figures give rates of
271 per 10,000 of population for London, against 39.1 in 1902, and
19"6 for Westminster, against 25'8 in 1902. In certain of the Wards,
however, scarlet fever was prevalent to a marked extent—in St. Anne
Great Marlborough and Eegent Wards; as in the previous year.it
affected St. John and Victoria Wards. It began in the first quarter of
the year in St. Anne's, and spread in the second and third quarters to

This is shown in detail as follows:—

Scarlet Fever, 1903.Conduit.Grosvenor.Hamlet of Knightsbridge.Knightsbridge St. George.Victoria.Sc. Margaret.St. John.
1st quarter231614917
2nd quarter7591927
3rd quarter541229
4th quarter111222411
Total eases316721671744
Deaths132
Attack rate per 10,000population5.210.69.213.916.812.614.0
Mortality per cent, of cases6.24.44.5
Scarlet Fever, 1903.St. Anne.Great Marlborough.Pall Mall.Regent.Charing Cross.Covent Garden.Strand.Totals for City.
1st quarter289110283113
2nd quarter1216221143108
3rd quarter8188874
4th quarter55131. —57
Total cases53484423216352
Deaths219
Attack rate per 10,000 population46.065.012.644.06.823.78.819.6
Mortality per cent, of cases4.74.72.55

As the majority of cases are in persons under 15 years of age, and
some wards contain a larger proportion of young persons than others, it
would be more instructive to calculate the rate on the number of
persons at these ages in each ward, but, unfortunately, the census figures
only give the details for the Union districts. Taking these for comparison,
we get:—