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

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Willesden 1914

[Report of the Medical Officer of Health for Willesden]

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240
Associated with the removal to hospital of the worst
cases there should be an extended system of home nursing,
under the supervision of the Infant Dispensaries, to assist
mothers and aid in carrying out in the proper manner,
the treatment and preventive measures to be applied to each
In respect of hospital treatment, provision should be
made for a number of cases equal to three times the average
number of deaths per annum, i.e., 183 cases per annum.
In respect of home visitation, provision should be made
so that all cases have medical supervision and the skilled
services of a nurse as and to the extent that may be necessary.
(b) Measles.
Table No. 4 above, shows that there were, on the average,
during the five year period 1909-13, approximately
4,005 cases of measles per annum.
I have already indicated that in respect of this disease
proper nourishment, ventilation, warmth and skilled nursing
are essentials. These should be supplied :
(1) At the hospital,
(2) At the home.
204 deaths from measles occurred during the five year
period 1909-13 amongst children under five years, or 41
on the average per annum.
Provision should be made for hospital accommodation
for three times this number, or 123 cases, and all cases
should have adequate medical attendance and nursing at
home to the extent that may be necessary.
(c) Whooping Cough. (d) Bronchitis. (e) Pneumonia.
All the remarks made in respect of measles apply to the
above diseases, with the exception that the figures require
amendment in the light of the following Table:—