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

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Edmonton 1914

[Report of the Medical Officer of Health for Edmonton]

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SCARLET FEVER AND DIPHTHERIA.

Jan.Feb.MarApl.MayJuneJulyAugSeptOctNovDec.Total.
S.F.1913192339161227261949726667435
1914272332142615263234335943364
Dip.1913121110472435362116131
19141118101081691213!32111152

These are unrevised figures from monthly reports, excluding foreigners, but
including Belgians.
Scarlet Fever. 351 cases were notified, giving an attack rate of 5.15
per thousand. 420, 211 and 68 cases were notified in 1913-12-11. The patients
were distributed amongst 271 houses and 114 streets. One case occurred in
219 houses; two cases occurred in 33 houses; three cases in 13 houses; four in
three houses; five cases in three houses. The removals to hospitals numbered
314, an isolation percentage of 89.45. There were three deaths, giving a fatality
of 0.85 per cent. of cases notified, and a death-rate of 0.04 per thousand of the
population. Besides, six cases were notified from the Edmonton Infirmary
who were not Edmonton residents, but were treated in our Hospital. One
case was doubly notified, and one case of infection mixed with diphtheria and
five with measles.
There were also eight Belgians notified.
Secondary cases numbered 61 out of 351 (excluding six cases from
Edmonton Workhouse). »
There were four cases notified where subsequent observation did not confirm
the diagnosis ; they are not included in the above figures.
Return Cases—See section on "Hospitals."
Diphtheria and Membranous Croup.—The latter, membranous
croup, is only an old-fashioned phrase for diphtheria, presenting symptoms
mostly confined to the larynx. I received notifications of 148 cases during the
year, compared with 131, 136 and 43 in 1913-12-11, and they represent an
attack rate of 2.17 per thousand of the population. The cases occurred in
72 streets and 129 houses. One case occurred in 112 houses; two cases in
16 houses; three cases in one house. The cases removed to hospital numbered
138, being 92.0 per cent. of those notified. There were 16 deaths, giving a
death-rate of 0.23 per thousand of the population, and a fatality of 10.81 per
cent. of those notified.