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The number of cases removed to the hospitals of the London County Council
during the year was 12.
What has been written in favour of the notification of measles applies with
almost equal force to the notification of whooping cough.
Whooping cough also is a serious disease commonly neglected at first, frequently
leading to complications and for which isolation and good nursing are required.
Glandular Fever.
Two cases of this disease were brought to the notice of the Health Department
under interesting circumstances.
On 27th March a practitioner asked for a second opinion upon a case which he
believed to be one of Typhus Fever. The patient was a girl aged 16 who became
suddenly ill and developed a well marked blotchy rash a few days later. There
were bites upon the skin, probably due to lice.
After consultation with a member of the medical staff of the Ministry of Health
it was decided to regard the case as one of Typhus and it was accordingly notified
and removed to the Western Fever Hospital.
The mother of the girl was taken ill with somewhat similar symptoms a few day
later and was also removed to the Western Hospital as a case of Typhus.
The true nature of the illness from which these patients were suffering was not
suspected until the fourth week of the disease when the enlargement of the glands
and the examination of the blood (showing mononuclear leucocytosis) pointed to
glandular fever as the correct diagnosis. The notifications referred to were withdrawn.
Influenza.
There was only one death attributed to influenza.
The number of deaths in Shoreditch during recent years has been as follows:—
Year. Deaths. Year. Deaths.
1921 27 1926 22
1922 69 1927 25
1923 14 1928 16
1924 28 1929 68
1925 19
During the last four years the deaths and death rate from influenza in London
as a whole have been as follows:—
Number of Deaths per 1,000
deaths. population.
1927 1,790 0.39
1928 502 0.11
1929 3,088 0.69
1930 370 008
Diarrhœa.
There was somewhat less diarrhcea in Shoreditch than during 1929, though the
disease was rather more prevalent in London as a whole.