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
London County Council 1913
[Report of the Medical Officer of Health for London County Council]
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23
Report of the County Medical Officer—General.
The scarlet fever case-rates, death-rates and case-mortality for 1913 and preceding periods are shown in the following table:—
| Period. | Death-rate per 1,000 persons living. | Case-rate per 1,000 persons living. | Case-mortality per cent. |
|---|---|---|---|
| 1861-1870 | 1.13 | —a | —a |
| 1871-1880 | 0.60 | —a | —a |
| 1881-1890 | 0.33 | —a | —a |
| 1891-1900 | 0.196 | 4.8 | 3.8 |
| 1901-1910 | 0.106 | 3.9 | 2.7 |
| 1901 | 0.136 | 4.1 | 3.2 |
| 1902 | 0.126 | 4.0 | 3.1 |
| 1903 | 0.086 | 2.8 | 2.9 |
| 1904 | 0.086 | 3.0 | 2.7 |
| 1905 | 0.126 | 4.3 | 2.8 |
| 1906 | 0.126 | 4.5 | 2.6 |
| 1907 | 0.146 | 5.7 | 2.5 |
| 1908 | 0.126 | 4.8 | 2.5 |
| 1909 | 0.086 | 3.8 | 2.2 |
| 1910 | 0.056 | 2.3 | 2.0 |
| 1911 | 0.046 | 2.3 | 1.6 |
| 1912 | 0.046 | 2.5 | 1.4 |
| 1913 | 0.046 | 3.8 | 1.1 |
Scarlet fever
death-rates.
The death-rate in each year since 1858 in relation to the mean death-rate of the period 18591913
will be seen on reference to diagram (H). The monthly case-rate and case mortality in each of the
years 1891-1913 in relation to the mean of the whole period is shown in diagram (J).
It will be seen from the following table that in the period 1908-12 the London scarlet fever death
rate was exceeded by that of Liverpool, Manchester, Birmingham, Sheffield, West Ham, Newcastleon-Tyne,
Stoke-on-Trent. Portsmouth, and Salford.
In 1913 it was exceeded by all except Leeds, Bristol, Bradford, Hull, Stoke-on-Trent and Leicester.
| Town. | 1908-12. | 1913. | Town. | 1908-12. | 1913. |
|---|---|---|---|---|---|
| London | 0.07b | 0.04b | Bradford | 0.05 | 0.03 |
| Greater London | 0.06 | 0.0 | Hull | 0.03 | 0.01 |
| Liverpool | 0.22 | 0.08 | Newcastle-on-Tyne | 0.08 | 0.08 |
| Manchester | 0.13 | 0.13 | Nottingham | 0.05 | 0.06 |
| Birmingham | 0.16 | 0.21 | Stoke-on-Trent | 0.17 | 0.02 |
| Sheffield | 0.08 | 0.16 | Portsmouth | 0.09 | 0.08 |
| Leeds | 0.07 | 0.03 | Salford | 0.18 | 0.13 |
| Bristol | 0.04 | 0.02 | Leicester | 0.07 | 0.03 |
| West Ham | 0.10 | 0.06 |
Scarlet fever
death-rates
in large
English
towns.
The following table shows the scarlet fever cases, deaths, case-rates, and death-rates for the year 1913 and the case-rates and death-rates for the period 1908-12 in the several sanitary districts.
| Metropolitan borough. | Notified cases, 1913 (53 weeks). | Case-rate per 1,000 persons living. | Deaths, 1913 (53 weeks). | Death-rate per 1,000 persons living. | ||
|---|---|---|---|---|---|---|
| 1908-12. | 1913. | 1908-12. | 1913. | |||
| Paddington | 487 | 2.89 | 3.37 | 7 | 0.06 | 0.05 |
| Kensington | 558 | 1.93 | 3.21 | 3 | 0.03 | 0.02 |
| Hammersmith | 537 | 2.80 | 4.27 | 7 | 0.06 | 0.06 |
| Fulham | 767 | 3.05 | 4.80 | 3 | 0.06 | 0.02 |
| Chelsea | 206 | 2.59 | 3.14 | 3 | 0.05 | 0.05 |
| Westminster, City of | 379 | 2.41 | 2.41 | 7 | 0.04 | 0.04 |
| St. Marylebone | 417 | 2.79 | 3.58 | 10 | 0.08 | 0.09 |
| Hampstead | 203 | 2.15 | 2.37 | 4 | 0.03 | 0.05 |
| St. Pancras | 565 | 3.13 | 2.59 | 6 | 0.06 | 0.03 |
| Islington | 1,315 | 3.07 | 3.97 | 17 | 0.06 | 0.05 |
| Stoke Newington | 109 | 2.31 | 2.12 | 1 | 0.05 | 0.02 |
| Hackney | 821 | 3.22 | 3.62 | 11 | 0.06 | 0.05 |
| Holborn | 132 | 2.36 | 2.77 | - | 0.05 | - |
| Finsbury | 274 | 2.58 | 3.18 | 4 | 0.09 | 0.05 |
| London, City of | 47 | 1.66 | 2.58 | 1 | 0.02 | 0.05 |
| Shoreditch | 354 | 2.76 | 3.18 | 3 | 0.09 | 0.03 |
| Bethnal Green | 411 | 3.64 | 3.16 | 3 | 0.13 | 0.02 |
| Stepney | 820 | 3.79 | 2.93 | 8 | 0.08 | 0.03 |
| Poplar | 754 | 3.88 | 4.61 | 12 | 0.10 | 0.07 |
| Southwark | 880 | 2.86 | 4.59 | 11 | 0.06 | 0.06 |
Scarlet Fever
in London
boroughs.
Continued on next page.
(a) The Infectious Disease (Notification) Act came into force in 1889. (b) See footnote (c), page 6.