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

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St Pancras 1919

Report of the Medical Officer of Health for the year 1919

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77
11 cases were nursed by their own family, and 1 case was kept until
recovery in the institution in which it was born.
The results of treatment were as follows:—
Complete recovery (including 2 who afterwards died) 28
Blind —
Sight damaged (opacity of one eye only) 1
Died before recovery 4
Removed and out of touch 5
The same facilities, as in the case of measles (see below), are available
for the home nursing of cases of Ophthalmia Neonatorum, through the
Mayoress' Nursing Fund. In 1919 the visiting nurses made 377 visits to 17
children in this connection.
MEASLES AND GERMAN MEASLES.
All cases of these diseases were notifiable by parents and guardians, but only
the first case occurring in an outbreak in a household or institution was notifiable
by medical practitioners, an interval of two months since the last case constituting
a new outbreak.
Subject to correction for diagnosis in certain instances, 1,034 civil cases of
measles, and 268 of german measles were notified or otherwise discovered in
1919. This represents an incidence rate of 4.7 per 1,000 civil population for
measles and 1.2 for german measles.
15 deaths from measles were registered during the year, equal to a deathrate
of 0.06 per 1,000 civil population, and a case mortality rate of 1.4 per cent.
amongst notified cases. There were no deaths from german measles.

The cases were notified or reported as follows:—

Measles.German measles.
Notified by medical practitioners783205
,, parents and guardians14032
Discovered otherwise11131
1034268

Further statistical facts in regard to the cases will be found on pages 34, 35
and 36.
Practically every case has been visited without delay by one of the women
visitors, and 2,078 visits were made in this connection during 1919.
One health visitor is engaged almost entirely in the visiting of cases of
measles. In every case, also, a card of advice and a printed postcard form
of notification (unstamped) have been delivered to the parent.
By reason of facilities placed at the disposal of the Medical Officer of
Health by the Mayoress' Nursing Fund for Sick Poor Children it has been
possible to send a visiting nurse once or twice a day to all cases where the
visitor reported that such help was necessary, and where arrangements were
not made for the removal of the patient to hospital. Milk, eggs, and coal
were also paid for out of the fund in certain cases. In the course of this work
101 cases of measles in 77 families were nursed during the year, 562
nursing visits being made. In 103 families the patients were supplied with
milk, &c.
In the following table are set out the deaths and death-rates from measles