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

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Acton 1893

[Report of the Medical Officer of Health for Acton]

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14
To continue. We see that 192 cases of Scarlet Fever
occurred in the parish, nearly half of which occurred in one division
of the parish. The majority of the cases were mild, and it is
questionable in my mind whether some of the cases were not a
form of influenza with a rash.
DIPHTHERIA.
41 cases of diphtheria were reported. These were
mostly very mild. It is the general opinion that this disease is on
the increase. In its mild form it is very difficult sometimes to distinguish
it from an ordinary sore throat. This being the case, these
cases are very liable to be spread by children in schools. I do not
think, therefore, that we ought to discourage mild cases of this
disease being notified.
TYPHOID FEVER.
19 cases altogether were reported; 12 of these occurred
in Willesden, and 7 out of the 12 occurred in one house in Railway
Cottages. One case occurred in the adjoining house and one
in the next house but one. These nine cases occurred therefore
in one block of houses. These houses had a distinct and separate
drain, which I had reason to suspect to be the cause of the disease
and in as far as no more cases occurred after this drainage was altered
I am confirmed in my opinion.
One case of Typhoid Fever in Burlington Gardens was
imported from Worthing.
PUERPERAL FEVER,
Only two cases of Puerperal Fever were reported, although
six deaths were attributed to symptoms of Puerperal Fever. We
may therefore conclude that at least four cases were not reported
and probably a good many more cases occurred which recovered,