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

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Poplar 1929

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

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95
(b) A girl of 12 years was removed to a Metropolitan Asylums
Board Hospital with Scarlet Fever on 20th December;
transferred to Smallpox Hospital on 23rd December.
In addition to the 157 cases of Smallpox, 2 other patients were
removed to South Wharf, but not accepted as Smallpox:—
Case I. A. L.—Vaccinated on fourth day of husband's rash, i.e.,
day of his removal. Developed 4 papules 15 days after
husband's removal. Removed for observation. Returned
not Smallpox.
Case II. J. H.—Removed with brother and sister from house
in which there had been 4 previous cases. Removed for
observation as he had papules on wrists and hands. Vaccinated
(+) 12 days before removal. Returned not Smallpox
after 10 days in hospital.
The average age of the rash on day of removal to hospital was 3 days.
The average stay in hospital was 23 days, being as short as 7 days in 1
case, and as long as 51 days in another.

Age of Rash on Day of Removal.

Days.1.2.3.4.5.6.7.8.9.Total.
Cases11404232185133155

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"Missed" case from hopfields, 30-day rash12
"Missed" case, 16-day rash1
157

During the course of the year's work, the following impressions
have been formed regarding the incubation period, initial symptoms,
and interval between the onset and appearance of the eruption in the
present type of the disease.