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
City of Westminster 1904
[Report of the Medical Officer of Health for Westminster, City of]
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33
Scarlet Fever.—There were 13,439 cases notified in London in
1904, and 313 in the City, as compared with 352 in 1903, and 475 in
each of the two previous years. These figures give a higher rate for
the county and a less rate for the City.
Twenty-two cases notified as scarlet fever were afterwards said not
to be so, but I believe that many very mild cases escaped recognition
altogether. There were 6 cases of German measles, 4 cases of measles,
and others were cases of sore throat, in some instances accompanied by
a rash, probably septic in character. These cases occurred in six Wards,
Great Marlborough 7, St. John 6, Victoria and St. Anne 3 each,
Eegent 2, and Knightsbridge St. George 1.
The following Table shows how the notified cases were distributed, with the attack rate and mortality:—
| Scarlet Fever. 1904. | Conduit. | Grosvenor. | Hamlet of Knightsbridge. | Knightsbridge St. George. | Victoria. | Sr. Margaret. | St. John. | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 | _ | 2 | 18 | __ | 16 | ||||||||
| — | 7 | 5 | 26 | 6 | 19 | ||||||||
| — | 7 | 9 | 11 | 4 | 19 | ||||||||
| — | 9 | 3 | 2 | 14 | 7 | 19 | |||||||
| 25 | 5 | 18 | 69 | 17 | 73 | ||||||||
| 1 | — | 1 | 5 | — | 1 | ||||||||
| 17 | 166 | 6 6 | 11-9 | 173 | 12-7 | 23'5 | |||||||
| 40 | 55 | 7-2 | |||||||||||
| Scarlet Fever, 1904. | St. Anne. | Great. Marlborough. | Pall Mall. | Regent. | Charing Cross. | Covent Garden. | Strand. | Totals for City. | |||||
| 5 | 2 | - | 1 | - | - | 47 | |||||||
| 3 | 11 | 4 | 2 | 6 | — | 92 | |||||||
| 15 | 4 | — | 6 | — | 1 | 2 | 79 | ||||||
| 16 | 8 | 2 | 8 | 3 | 3 | 95 | |||||||
| 39 | 25 | 18 | 6 | 10 | 313 | ||||||||
| — | 1 | — | — | — | — | - | 9 | ||||||
| 34.8 | 35.2 | 13.0 | 19.0 | 13.6 | 11.5 | 17.6 | |||||||
| - | 4.0 | - | - | - | - | - | 2.87 | ||||||
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, hut unfortunately the census figures