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

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Croydon 1909

[Report of the Medical Officer of Health for Croydon]

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23
It will be observed that the interval between the discharge of
the patient and the onset of the return case varied from three days to
51 days and in 21 instances was more than 14 days.
Similar instances of chronic infectivity are also met with in
families where children are nursed at home The following are the
particulars of an outbreak in a family of seven children. One child
failed on November 23rd and another on November 28th. These
children were about to be released from quarantine when two other
children were attacked on January 4th. All four patients had
recovered and the house was disinfected on February 10th. The
family thereupon removed to another house, when in the course of a
day or two, namely, February 15th, a fifth child failed with scarlet
fever, and was in this case removed to the Borough Hospital. It is
noteworthy that four out of the five children attacked in this family
were suffering from enlarged tonsils or adenoids.
EPIDEMIC INFLUENZA
was the assigned cause of death in 59 instances, as compared with
52 in 1908.
WHOOPING COUGH
accounted for 30 deaths, all of which occurred in children under
five years of age. The number of deaths is slightly larger than in
1908, when 29 were registered. The number of cases is unknown,
but was in all probability larger than in the previous year, as
654 school notices were issued in reference to this disease as compared
with 458 in 1908.
DIPHTHERIA AND MEMBRANOUS CROUP
The number of cases notified amounted to 356, as compared
with 405 in 1908, while 24 cases terminated fatally, as compared
with 37 deaths in 1908.
* Not including a fatal case admitted to General Hospital from Mitcham and thence
transferred to the Borough Hospital.

The quarterly incidence of cases and deaths in 1909 and previous years is shown in the following table :—

Diphtheria.

Year.
1904.1905.1906.1907.1908.1909
Notified Cases—
1st quarter501015293*101124.
2nd354242498975
3rd984454599273
4th126801488412379
Registered deaths—
1 st quarter5121321*1113
2nd ,,5253714
3rd629574
4th97131123