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

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Shoreditch 1915

[Report of the Medical Officer of Health for Shoreditch]

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The distribution of the cases certified and deaths amongst males and females in the Borough and its eight Wards during 1915 are shown in the subjoined table :—

Wards.ENTERIC FEVER.
Notifications.Fatal Cases.
Male.Female.Total.Male.Female.Total.
Moorfields..................
Church2...2.........
Hoxton112.........
Wenlock...22.........
Whitmore...11...1...1
Kingsland3691...1
Haggerston4151...1
Acton...11.........
Totals for Borough101222213

The cases are grouped according to ages in Table II. (Appendix).
The death-rate was 0.03 per 1,000 population and the case mortality 13.6 per
cent. of the cases certified. Deducting cases not enteric fever the case-mortality
was 18.7 per cent.
Most of the cases were certified during the last quarter of the year. With
regard to those certified during the first six months, in one case the patient was a
soldier who probably contracted the disease in France ; in two others there was
nothing throwing light upon the source of infection. Most of the cases during the
latter part of the year occurred in two houses. The particulars are briefly as
follows :—
(1) A. L., female, aged 11 years, of 15, B Street, was ailing from the end
of August until September 22nd, when she was certified to have enteric fever.
(2) W. L., male, aged 4 years, brother to above patient, was ailing from about
September 8th and was certified on September 22nd.
These cases were followed by two others—
(3) T. L., male, aged 7, certified on October 2nd, and (4) E. L , female, aged 5,
certified on October 4th. These latter seem to have become unwell during the
last fortnight of September.
The family are foreigners, and the conditions which prevailed in the home
were such as would favour the transference of infection. The first case was
unrecognized for three weeks and possibly longer. The other three cases were
probably secondary to it. Nothing was obtained to throw light upon the origin of
the first case.