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

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Islington 1927

[Report of the Medical Officer of Health for Islington Borough]

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1927 30
DIPHTHERIA ANTI-TOXIN.
Under the Special Order of 15th August, 1910, the then Local Government
Board sanctioned the provision by the Sanitary Authority, in pursuance of section
77 of the Public Health (London) Act, 1891, of a temporary supply of
Diphtheria Anti-toxin "for the poorer inhabitants of the district, subject to the
following conditions, that is to say, the arrangements with respect to the keeping,
distribution and use of the Diphtheria Anti-toxin shall be made in accordance
with the advice of the Medical Officer of Health."
The section of the Public Health Act referred to is that which enables the
authority with the sanction of the Local Government Board to provide a temporary
supply of medicine, etc., for the poorer inhabitants of their district.
ANTI-TOXIN TREATMENT.
During the year 108,000 units of Diphtheria Anti-toxin serum were issued to
Medical Practitioners in the Borough. Of this quantity 65,000 units were sold,
the total amount received by the Council being £4 16s. The remaining 43,000
units were given free, owing to the patients' limited means.
Scarlet Fever—909 cases were notified, and they showed a decrease of
263 on the average (1,172) of the ten years 1917-1926. The attack-rate was equal
to 2.72 per 1,000 of the civil population annually, which is a decrease of 0.87 per
1,000 of the mean rate (3.59) of the preceding ten years. In London the attackrate
was 2.92 per 1,000 of the civil population, while in the Encircling Boroughs it
was 3.18.
Enteric Fever.—Only 12 cases were notified which were 5 less than the
average that obtained during the ten years 1917-1926. The attack-rate was
0.03 per 1,000 annually, or 0.02 per 1,000 below the mean rate(0.05) of the last
ten years.
In London the rate was 0.07, and in the Encircling Boroughs 0.06 per 1,000
of the civil population.
Typhus Fever —No case was notified.
Puerperal Fever.—See page 12.
Erysipelas.—139 cases were notified, or 1 above the average 138 of the
preceding ten years, the attack-rate being 0.42 per 1,000 of the civil population.
FATALITY FROM THE EIGHT PRINCIPAL NOTIFIABLE
INFECTIOUS DISEASES.
By "Fatality" is meant the percentage proportion of deaths to attacks of
sickness.

During the year it was found that of the 1,813 cases notified, 55 deaths occurred, of 3 per cent., which contrasts with an average percentage of 3.8 in the preceding ten years 1917-26.

Years.Cases.Deaths.Fatality.
19171,251554.4
19181,127676.0
19191,993964.8
19202,8531736.0
19214,3441463.3
19222,7871023.7
19232,096482.3
19242,087*663.2
19252,194512.3
19261,919‡633.3
Mean2,265873.8
19271,833553.0
* Including 2 cases not notified. ‡ Includes 1 case not notified.