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

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St Pancras 1920

[Report of the Medical Officer of Health for St. Pancras, Metropolitan Borough]

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42
days respectively. The condition of the scarlet fever convalescent is each case was as follows:—
(1) Rhinitis and glandular enlargement (negative swabs from nose and throat, but later a
positive swab obtained from the nose). (2) No signs of infectiousness, but positive swab from
throat. (3) No signs of infectiousness, and negative swabs from nose and throat. In one of
the instances (1 above), the case of diphtheria was followed by a series of cases of nasal
and throat diphtheria.
TYPHOID OR ENTERIC FEVER.
18 cases were notified during 1920 as suffering from this disease. Of these, 4 were
afterwards found not to be suffering from the disease, the number of actual cases being 14.
Only 1 of the cases was fatal. 2 of the cases were paratyphoid B.
Other statistical facts will be found on pages 28 to 30.

The 18 cases were treated as follows:—

Cases notified.Not typhoid.Diagnosis not contradicted.
In hospitals of the M.A.B.936
In other hospitals817
In their own homes11

The cases were all in different houses. In one case the patient arrived from Cork
(Ireland), in the early stage of the disease. One case was a nurse who had been nursing a
fatal case of typhoid fever until a fortnight before the onset of her own illness. One case
(para-typhoid B) was one of a series of cases which occurred at the Bedford College for
Women, where the patient was a student. In the other 11 cases the source of illness was not
traced.

The number of cases of typhoid fever, corrected for errors of diagnosis, which have been notified since 1913, and the number of these cases which have died, are shown in the following table:—

Year.Cases notified.Fatal cases.Case Mortality per cent.
191326623
191427415
191516831
191629517
191717529
191811545
19197229
19201417