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

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Southwark 1909

[Report of the Medical Officer of Health for Southwark, Borough of]

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58
Our inhabitants dearly love mussels and cockles; the history of
many of the cases clearly points to those delicacies as the cause of the
complaint. The partial cooking these shell fish are subjected to does
not, evidently, kill the special organism.
The percentage of deaths to the total number notified was 171.
The annual mortality per 1,000 living was 0.03.

The deaths from Enteric Fever for the last ten years :—

190039190511
190118190612
190223190711
19032319087
19041819096
The number of cases notified during the last ten years:—
1900307190574
19011351906111
1902193190780
1903122190848
190492190935

Of the 35 cases notified as many as 31 were removed to hospital,
of which 6 died, a mortality of 19 3 per cent.
In the 4 cases treated at home none died.
The percentage of cases removed to hospital to the total number
notified was 88.5.
DIARRHEA.
There has been a considerable fall from last year in the number of
cases of Diarrhæa. The coldness of the summer had much to do with
this decline. The practice of visiting all houses at which a birth has
occurred, and the urging of all mothers, when that is possible, to breastfeed
the infant must have had some effect upon the disease. A pretty
satisfactory supervision of infants up to twelve months of age, has been
carried out in four of the Wards, and this work we hope to extend, as
quickly as possible, to the other parts of the Borough. In this work we
can estimate the migratory habits of the people. It is astonishing how
much the families move from house to house, not only in the Borough