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

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Heston and Isleworth 1935

[Report of the Medical Officer of Health for Heston and Isleworth]

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Infectious Diseases
Scarlet Fever and Diphtheria.—-There were 8 "return" cases of Scarlet 1'ever and
none of Diphtheria during the year. The usual period allowed when speaking of a " Return
Case " is 28 days after the return home of a case from Hospital, or 28 days after the release of a
case from isolation at home.
No cases of Diphtheria were notified from North Hyde School during the year.
Some use is made of the Dick reation in connection with query cases of Scarlet Fever at
Mogden Hospital. Scarlet Fever serum is used in nearly all cases at the hospital.
The Staff of Mogden Hospital is Schick tested and immunised.

Scarlet Fever.—The following table shows the number of cases which have been notified, and the number and percentage of cases which have been removed to Hospital :—

No. of civil cases notified213
No. of civil cases removed to Hospitals183
Percentage of cases removed to Hospitals85.92

The incident rate of Scarlet Fever in the civil population (90,970) was 2.34 per 1,000.
There was one death from this cause during the year.

Diphtheria.—The following table shows the number of notifications received and the percentage of cases of Diphtheria removed to Hospital:—

No. of civil cases notified72
No. of civil cases removed to Hospitals69
Percentage of cases removed to Hospitals95.8

The incident rate per 1,000 of the civil population was 0.79. Fourteen cases occurred in
institutions during the year. Three deaths occurred from this disease, i.e., a case mortality rate
of 4.16 per cent.
The deaths occurred in the following age groups : —
3—4 years 1
5—10 years 2
And in the following months :—
February 1
December 2
For the last five years the deaths from Diphtheria have been as follows :—
Year.
1931 4
Year.
1932 3
Year.
1933 2
Year.
1934 4
Year.
1935 3
Details of the Immunisation work for 1935 are set out in the following report.
Schick testing has been resorted to in practically every case, and every effort has been made
to ensure that the work is as scientifically accurate as it is possible to make it.

It is interesting to note that the incidence of Diphtheria in the District compares with the rest of the Country as follows :—

Rates per 1,000 of Population.
Cases.Deaths.
England and Wales1.60.08
121 County Boroughs and Great Towns including London1.96.09
140 Smaller Towns1.34.07
London Administrative County2.25.06
Heston and lsleworth0.79.03

The total number of new consents to immunisation was 691, of which 340 were in respect
of children under 5 years of age.
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