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

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City of Westminster 1927

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

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The primary notifications for 1927 show a decrease of 43 on those of 1926. Out of the total cases notified in 1927, 31 died, and the following table shows the period between notification and death of these cases:—

Weeks.Months.
1—22—33-41—22—33—44—65—66—77—8
535661312

Table II.

19231924192519261927
New cases notified324347282288245
Number included in above who died during the year4466464531
(13.5%)(19.0%)(16.3%)(15.6%)(12.6%)
Total Tuberculous Deaths119138129133114
Death Kates per 100,00084.796.592.496.083.5

The number of cases who died within the year of notification is
appreciably fewer, 31 as compared with 45 last year. This might be
explained by the reduction in all deaths from tuberculosis, 133 in 1926,
114 in 1927, but the percentage of those "recently" notified deaths is
also less, 15.6 per cent. in 1926 and 12.6 per cent. in 1927. This would
appear to indicate a tendency for patients to seek medical advice at an
earlier and more curable stage of the disease. An analysis of these 31
deaths shows that 19 were males and 12 females. All except 2 were due
to pulmonary tuberculosis, the exceptions being a boy of 2 years affected
with generalised tuberculosis and a male of 74 years with tuberculosis of
the kidneys. Of the women, 4 were under 25 years and 8 were 40 years
old and over, 5 being over 50. Of the 19 males, 4 were 25 years and
under, 2 between 25 and 40, and the remainder (13) were all over 45
years.