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

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Bethnal Green 1888

[Report of the Medical Officer of Health for Bethnal Green]

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13
twice that of 1886. The 282 reported cases occurred in 213
houses. In 60 cases the premises were in a fairly satisfactory
condition; in 26 they were more or less unsatisfactory; and in
the remaining 127 grave sanitary defects were discovered. To
get these remedied it was necessary to take legal proceedings in
18 cases, and to obtain Magistrates' orders for the necessary work
to be done.
In December, Scarlet Fever broke out in the family of
the caretaker of the Nichol Street Board School; the patient, a
child, was removed to the Fever Hospital on the 20th of the
month. Upon examining the premises I found the caretaker's
residence was in direct communication with the schoo1 buildings
by means of a doorway between the house and the master's private
room; had it not been for the fact that the pupils broke up for the
Christmas holidays on the day following the notification, I should
have felt it my duty to advise the Vestry to order the closure of
the schools. I, however, communicated with the Clerk to the
School Board for London, and recommended that, in view of
any future outbreak of infectious disease in the family of the
caretaker, the door of communication between his residence and
the school should be permanently closed, as the danger of the
disease spreading to the pupils would be thereby minimised. My
recommendation was immediately attended to and the doorway
was bricked up.
FEVERS.
(Decennial average 39.9).
Enteric Fever caused 20 deaths last year. A few cases of
simple fever were also reported, and one (fatal) case of Typhus.
A total of 39 cases of Fever were reported; 37 houses were
inspected; seven of these were found to be in good condition; an
equal number were more or less defective; and 27 were in a very
bad state indeed ; while legal proceedings were necessary in two
instances to get our requirements carried out.
In the following Table is shown the number and kind of the
various infectious cases reported during the year, month by month,
the termination of the hospital cases is also indicated.

TABLE D.

1888.1887
Small Pox11
Measles12473
Scarlet Fever12061
Diphtheria5226
Whooping Cough167101
Typhus Fever..3
Enteric Fever2028
Simple Fever1..
Diarrhœa66117
Cholera16
Total552416