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

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Whitechapel 1859

[Report of the Medical Officer of Health for Whitechapel]

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8
of Mr. Marson, that the mortality in those who are attacked with small-pox after
vaccination, but having only one good cicatrix, is 4½ per cent.; in those having an
indifftjrent cicatrix, it is 12 per cent.; in those with two good cicatrices, is per
cent.; with indifferent cicatrices, per cent.; in those with three good cicatrices, it is
1½ per cent.; with indifferent cicatrices, 2¼ per cent.; and in those patients who have
four good cicatrices, the mortality is under 1 per cent.; and from more recent returns,
out of 353 patients admitted into the Small-pox Hospital, having four or more
vaccine cicatrices, 1 only has died of small-pox.
It has been said, and perhaps with truth, that persons riding in cabs, after such
vehicles have been used for conveying patients with small-pox to the Hospital, have
been attacked with the disease. If, therefore, so serious a disease as small-pox can ba
propagated in this way, it is the duty of the public authorities who have the regulation
of these vehicles, to endeavour to prevent them being used for carrying sick
persons to the public hospitals ; and it would be desirable that the local authorities in
each metropolitan district, should keep in readiness a vehicle for the conveyance of
all persons attacked with small-pox or fever.
The Tables in the Appendix show the amount of work done by the Inspectors of
Nuisances, and the improvements effected in the district. The only point to which I
deem it necessary to particularly direct your attention is the numerous complaints of
the smoke nuisance. It appears that no less than 33 cases of nuisance from opaque
smoke issuing from the chimneys of factories have been brought before your Board;
in several instances the complaints relate to the same parties.
I am,
Gentlemen,
Your obedient Servant,
JOHN LIDDLE.
15, Great Alie Street.