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

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Greenwich 1910

The annual report made to the Council of the Metropolitan Borough of Greenwich for the year 1910

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42
Puerperal Fever. Five deaths from this disease
were notified during the year, 3 in West Greenwich, 1 in
St. Nicholas, and 1 in Charlton. There were 8 cases in
1909, and 2 in 1908; 4 of these patients were removed
to the Hospital. There were 2 deaths from this disease
during the year. Particular enquiries were made respecting
the source of infection in each case, but in no way
did there appear to be any common origin.
Measles. Nine hundred and sixty-nine cases of
Measles were notified during the year, as compared with
795 during the previous year, and 497, 1,245 and 482
in the years 1908, 1907 and 1906, respectively. Each
case was visited, and the usual measures of disinfecting
generally carried out. It will be seen that the incidence
of this outbreak was particularly felt during the second
quarter of the year, during which period some threefourths
of the total cases were heard of. No particular
district of the Borough appears to have been specially
exempt. The ages and incidence of the disease will also
be seen to be as follows:— Of the total number, 32 were
children under one year of age, amongst which cases
there occurred seven fatalities, equal to a case mortality
of 22 per cent. There were 454 cases between one and
five years of age, amongst whom there were 38 deaths,
giving a case mortality of 8.3 per cent. Between the
ages of five to fifteen years there were 479, with only 2
deaths at this age period, giving a case mortality of 0.4
per cent. There were 4 cases at ages twenty-five to sixtyfive,
with no deaths.
The case mortality of the whole district works out at
4.9 per cent.
From a consideration of the above figures it will be
seen how fatal a disease Measles is, as it affects children
under the age of five years, for if the same proportion