Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Forty-first annual report of the Medical Officer of Health on the vital and sanitary condition of the Borough of Saint Pancras, London
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Population—1891 Census. | Regent's Park, pop. 37,341. | Tottenham Court, pop. 26,757. | Grav'a Inn Lane, pop. 29,426. | Somers Town, pop. 32,161. | Camden Town, pop. 16,669. | Kentish Town, pop. 98,410. | Total. |
---|---|---|---|---|---|---|---|
Diseases. | |||||||
Small-pox | .. | .. | .. | .. | .. | .. | .. |
Cholera | .. | .. | .. | .. | .. | .. | .. |
Diphtheria and Membranous Croup | 16 | 8 | 12 | 21 | 4 | 38 | 99 |
Erysipelas | 1 | 1 | 2 | 3 | .. | 6 | 13 |
Scarlatina, or Scarlet Fever | 5 | 2 | 4 | 4 | 4 | 18 | 37 |
Typhus Fever | .. | .. | .. | .. | .. | .. | .. |
Typhoid or Enteric Fever | 5 | .. | 3 | 3 | 2 | 16 | 29 |
Relapsing Fever | .. | .. | .. | .. | .. | .. | .. |
Continued Fever | .. | .. | .. | .. | .. | .. | .. |
Puerperal Fever | .. | .. | 1 | .. | .. | 4 | 5 |
Totals | 27 | 11 | 22 | 31 | 10 | 82 | 183 |
From the preceding Tables the Case-fatality of each of the diseases appears as follows :—
Cases. | Deaths. | Fatality per cent. | |
---|---|---|---|
Small-pox | 5 | .. | .. |
Cholera | .. | .. | .. |
Diphtheria and Membranous Croup | 467 | 99 | 21.2 |
Erysipelas | 366 | 13 | 3.6 |
Scarlatina | 1067 | 37 | 35 |
Typhus Fever | .. | .. | .. |
Typhoid, or Enteric Fever | 198 | 29 | 14.6 |
Relapsing Fever | .. | .. | .. |
Continued Fever | 1 | .. | .. |
Puerperal Fever | 19 | 5 | 26.3 |
Totals | 2123 | 183 | 8.6 |
In the previous year the fatality of diphtheria and membranous croup was
24.3 per cent., of erysipelas, 2.7; of scarlet fever, 4.8; of enteric fever, 19.4;
and of puerperal fever, 70.6.
DIAGNOSTIC TESTS.
The diagnosis of diphtheria is often difficult and leads to differences of
opinion as between medical practitioners themselves and their patients.
Mild and doubtful cases are a source of great danger as carriers of
infection, and in young children are a ready means of spreading the disease
in schools.