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

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Marylebone 1921

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

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40
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 55 instances that a definite connection could be
made out.
Defects in sanitation to the number of 88 were discovered in the premises visited.
All these were want of cleanliness, etc. The nuisances were remedied after the
service of notices in each case.
Enteric and Paratyphoid Fever.
The Enteric Fever notifications received numbered 13. There were 3 deaths.
Of Paratyphoid Fever there were 7 cases. All the patients recovered.
Cerebro-Spinal Fever.
There were 5 cases of this disease. Two were girls—one 8 and the other
5j months. The 3 male patients were 50 years, 28 years, and 6 months respectively.
All died.
Encephalitis Lethargica.
Five cases of this disease were notified, 3 women and 2 men. Two of the
patients died; of the remaining 3, two were found to be suffering from some
condiition other than Encephalitis, while the third was discharged from hospital
practically completely cured.
Polio-Myelitis.
The notifications numbered 2, one a boy, aged 8, and the other a girl of 10. The
boy was discharged from hospital " improved" while the girl is still in hospital,
suffering from Chorea (St. Vitus' Dance).
Erysipelas.
The notifications of erysipelas numbered 46, and there were 3 deaths.
Puerperal Fever.
The number of cases of this disease notified, viz., 4, was just about the average,
as was also the number of deaths registered as due to it, viz., 2.
In each case a visit was paid by one of the women inspectors and the premises
were disinfected.
Measles and German Measles.
These conditions are not now notifiable. 189 cases were however reported,
22 voluntarily by doctors and parents and 167 by school-teachers.
There were no deaths. The course adopted in relation to the cases was the
same as in previous years.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from the
death returns, and during 1921 the number of deaths registered as due to whooping
cough was 7. In 1920 the number was 12.
The arrangements with regard to nursing and hospital isolation are similar to
those in the case of measles.
Glanders and Anthrax.
No cases were notified.