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

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Paddington 1872

[Report of the Medical Officer of Health for Paddington]

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63 cases are not accounted for, they have in all probabibility
recovered, and gone into different Parishes or houses, where their
parents or friends reside, and the return perhaps sent to that
parish, at any rate it was not sent to Paddington, and the result
is not known whether any of these were fatal cases—but if so,
the mortality will be higher than that estimated.
Out of 511 known cases, 215 occurred in the worst streets
of the districts, North and South of the Canal Basin. In Harrow
Road District 133 cases; Praed Street District 60; Hall Park
District 22; making 215, or 38 per cent, of the whole. The remainder
were scattered over 150 streets and places, more or less clean,
and very favourably situated. I have obtained a record of
the exact population of these groups of streets; and of Hall Park
estate, where the population is estimated at about 3500, and
where 22 cases occurred, the deaths do not appear to exceed that
of the general population of the whole Parish.
Woodchester Street, Clarendon Street and Cirencester Street,
where the estimated population is nearly 5000, and with 34 cases,
the proportion is about the same as that throughout the Parish,
viz.:— about 6 attacked out of every 1000 persons living.
This comparative immunity in some of our most crowded
streets, can only be attributed to the very general practice of
vaccination by parents, and to measures taken for prompt
removal and isolation, cleansing and disinfection of rooms.
It will be seen from Table VI., that 15 of 22 persons were
sent from Hall Park district; 62 out of 133 from North Wharf
Road District; 43 out of 60 cases in the South Wharf Road
Streets; thus, 120 out of 215 attacked, being speedily removed,
must have materially lessened the foci of contagion and risk to
their neighbours in these crowded districts. More cases would
have been removed, but for very young children, it was necessary
to have their mothers to take care of them. In some instances
mothers and children were taken off together in the carriage.
The small pox cases have upon the whole been distributed
over all parts of the parish, taking the extreme number at
600 (including the concealed cases), the proportion to the
population will be at the rate 6 per 1000 persons of all ages.
The inhabitants of squares and mansions have not escaped,
but the dirty houses and streets have most suffered. Houses let
out to more than one family, and where an entire family was
living in a single room, have been, as may be expected, the greatest
sufferers. In the houses of the rich and well to do, nearly the
whole of the cases were domestic servants, described as butler,
footman, housekeeper, housemaid, cook, nurse, &c. Out of