Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]
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Report of Medical Officer of Health.
patients, suggests that the infection present in the mucous discharges has a similar origin. That
being granted, it is evident that an extended duration of hospital isolation will not tend to prevent
the occurrence of " return cases."
The average duration of such isolation at the various hospitals at the time of the inquiry is indicated in the following tables:— Number and duration of detention of cases of Scarlet Fever in different hospitals discharged during the six months from October, 1898, to March, 1899.
Time of Detention. | South. Eastern. | North. Eastern. | Park. | Western. | N orth. Western. | Fountain. | Eastern. | Brook. | Southwestern. |
---|---|---|---|---|---|---|---|---|---|
Under 2 weeks | 0 | 0 | 0 | 0 | 1 | 0 | 1 | 0 | 0 |
2 weeks and under 4 weeks | 0 | 3 | 1 | 0 | 5 | 0 | 0 | 0 | 0 |
4 „ „ 6 „ | 3 | 8 | 9 | 1 | 32 | 16 | 18 | 5 | 10 |
6 „ ,.8 „ | 67 | 142 | 98 | 13 | 115 | 72 | 64 | 20 | 89 |
8 „ „ 10 „ | 75 | 190 | 92 | 80 | 114 | 166 | 41 | 145 | 86 |
10 „ „ 12 „ | 42 | 112 | 46 | 83 | 71 | 100 | 25 | 146 | 66 |
12 ,, ii 15 „ | 32 | 149 | 32 | 59 | 28 | 67 | 22 | 170 | 66 |
15 ,, and over | 12 | 38 | 10 | 56 | 18 | 22 | 9 | 43 | 28 |
231 | 642 | 288 | 292 | 443 | 180 | 529 | 345 | ||
Percentage of cases giving rise to return cases after isolation lasting | South. Eastern. | North . Eastern. | Park. | Western. | Northwestern. | Fountain. | Eastern. | Brook. | Southwestern. |
4 weeks and under 6 weeks | 1.2 | 1.2 | 3.1 | 0.3 | 8.3 | 3.6 | 10.0 | 0.9 | 2.9 |
6 ,, ,,8 „ | 29.0 | 22.1 | 34.0 | 4.4 | 29.6 | 16.2 | 35.5 | 3.7 | 25.7 |
8 „ „ 10 „ | 32.4 | 29.5 | 31.9 | 27.3 | 29.6 | 37.4 | 22.7 | 27.4 | 24.9 |
10 „ „ 12 „ | 18.1 | 17.3 | 15.9 | 28.7 | 18.6 | 22.5 | 13.8 | 27.4 | 19.1 |
12 ,, ,, 15 ,, | 13.8 | 23.0 | 11.1 | 20.2 | 7.2 | 15.1 | 12.2 | 32.1 | 191 |
15 „ and over | 5.1 | 5.9 | 4.1 | 19.1 | 4.6 | 4.9 | 5.0 | 8.0 | 8.1 |
Percentage of primary Scarlet Fever infective cases | 11.7 | 1.3 | 1.3 | 1.6 | 1.5 | 1.3 | 1.1 | 2.1 | 0.8 |