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

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St Pancras 1918

Report of the Medical Officer of Health for the year 1918

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28
A visiting nurse was called in in 22 cases, 4 eases were removed to hospital,
and 6 cases were kept in the institutions in which they were born till their
recovery or death. The other 6 cases were nursed by their own families.
The results of treatment were as follows:—
Complete recovery (including 4 who afterwards died) 29
Blind 0
Sight damaged 3
Died before recovery 2
Removed and lost sight of 4
The same facilities, as in the case of measles (see page 38), are available
for the home nursing of cases of Ophthalmia Neonatorum, through the
Mayoress' Nursing Fund. In 1918 the visiting nurses made 4(36 visits to 20
children in this connection.
PUERPERAL FEVER.
5 cases were notified during 1918, equal to an incidence rate of 1.5 per
1,000 births. 2 deaths occurred amongst these, giving a case mortality of
40 per cent.
All 5 cases followed the birth of live-born infants
3 of the patients were primiparac (i.iwomen who had not previously
borne children), and 2 multiparas.
In 3 cases " instruments " were used at the confinement.
In no case was there any obvious source of infection in the house.

In the following table the cases are classified according to the manner in which the patients were attended in their confinements :

Confinement attended byNo. of cases of Puerperal Fever.Total number of births notified.No. of oases per 1000 births.
Doctors28202.4
Private Midwife17001.4
Tn Hospital2

TUBERCULOSIS.
The number of notifications of civilian eases of tuberculosis received
during the year are set out in the form suggested by the Local Government
Board in the table on the next page.
The total number of primary notifications (civilian) received during the
year on Forms A, B, C, and D, was 1237 (1034 pulmonary, 203 non-pulmonary),
equal to a notification rate of 7.04 (5.88 pulmonary, 1.16 non-pulmonary) per
1000 civilian population.
The deaths from tuberculosis during the year numbered 485, of which 4 ,3
(234 males, 169 females) were from phthisis, and 82 (49 males, 33 females)
from other forms of tuberculosis,