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

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City of Westminster 1911

[Report of the Medical Officer of Health for Westminster, City of]

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The number of cases of each quarter of the last three years is shown in the subjoined statement:-

Scarlet Fever.London.Westminster.
1909.1910.1911.1909.1910.1911.
1st quarter4,2272,7011,9001138859
2nd „4,4042,5482,0902185748
3rd ,,4,0802,5802,7831445468
4th3,9402,6833,7171154977
17,25110,51210,490590248252

The rise and fall of the disease is shown week by week on the
accompanying charts.
The schools attended by affected children are shown later. A
number of cases occurred in Covent Garden and Strand Wards, most of
the children going to schools in Holborn Borough.
A. number of cases occurred in connection with three schools in
Westminster but fortunately they were limited by the detection of the
source of infection.
There were four deaths, giving a low mortality rate, as shown below.
The death rate for London was 0.04 per 1,000, the five-yearly average
being 0.l0.
In 19 instances, 2 cases occurred during the year in the same house,
and in 6 instances 3 cases, and in 2 instances 4 cases. Two children
who had been in hospital developed infection after their return home
with the result that three other persons were infected. In 9 instances
the disease was eventually found not to be scarlet fever.
A man was fined 15s. at Great Marlborough Street Police Court for
taking his child to Bethnal Green after he had been told she was
suffering from Scarlet Fever.

A man was fined 15s. at Great Marlborough Street Police Court for taking his child to Bethnal Green after he had been told she was suffering from Scarlet Fever.

Scarlet Fever.1902.1903.1904.1905.1906.
Deaths per 100 Cases—
The City3 .32.52.84.02.5
The County3 .02.82.72.82 .6
Scarlet Fever.1907.1908.1909.1910.1911.
Deaths per 100 Cases—
The City2.81 .273 .001.611 .58
The County2.492.482.222.031.64

Diphtheria.—From the subjoined table it will be seen that the
cases of diphtheria in Westminster were most numerous in the last
three months of the year. In London the prevalence of diphtheria
showed a considerable increase from September onwards. Table IX