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

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Stepney 1932

[Report of the Medical Officer of Health for Stepney]

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99
There were 26 actual cases of Small Pox during the year, or 323 less than Small Pox.
in the previous year : —
20 belonged to Limehouse, and
6 belonged to Mile End Old Town.
There were 12 typical cases notified, 8 males and 4 females. 11 of the Acute Poliomyelitis
cases were children under 5 years of age, and 1 was a man 64 years old who
died. Dr. Vernon Shaw, of the Ministry of Health, and myself went into the
history of the latter case, and it appeared that the cause of death was due to
myelitis. Because of the possibility of patients suffering from abortive attacks
of this disease careful supervision of the contacts was undertaken. There were
no secondary cases.
1 belonged to Limehoue, 6 to Mile End, 1 to St. George's and 4 to Whitechapel.
One patient has been in hospital for a year and still has paralysis in the
upper arm, but the fingers are responding to treatment. One is in hospital and
making very satisfactory progress. 2 are making good recovery and attend
the London Hospital three times a week for massage treatment. 4 patients
fully recovered and 4 died.
The death-rate for the whole Borough was .017 per 1,000 of the population.
I received 3 notifications during the year. 1 belonged to Limehouse, 1 to Encephalitis
Mile End and 1 to Whitechapel. 2 of the patients died and 1 completely Lethargicarecovered.
There were 3 other deaths during the year which were old chronic cases of
encephalitis lethargica.
The death-rate for the whole Borough was .02 per 1,000 of the population.
33 cases of this disease were notified—19 males and 14 females. 15 of Cerebro
Spinal Fever
these cases fully recovered, I patient is still ill and 17 proved fatal.
6 belonged to Limehouse.
6 belonged to St. George-in-the-East.
12 belonged to Mile End Old Town.
9 belonged to Whitechapel.
The death-rate for the whole Borough was .07 per 1,000 of the population.
33 cases were notified, or 10 more than in the previous year. 10 belonged Ophthalmia
to Limehouse, 3 to St. George-in-the-East, 14 to Mile End Old Town, and 6 Neonatorum
to Whitechapel.
No. of cases treated at home 16
„ in hospital 17
Total number of cases in which vision was unimpaired 30
impaired 1
Total number of cases of total blindness —
Total number of deaths 1
1 case could not be traced after leaving the hospital.

It was impossible to find the exact source of infection and it

was decided to work on presumptive evidence.

Scarlet Fever.Diphtheria
1.No reasonable presumptive evidence106or59.2%108or65.0%
2.Probable school infection51or28.4%41or24.7%
3.Probable infection in patient's own family8or4.4%6or3.6%
4.Probably by infection in near house5or2.8%5or3.0%
5.Probable " returned " case infection4or2.2%1or0.6%
6.Probable infection in Hospital3or1.7%4or2.4%
7.Probable infection in other family in house2or1.1%1or0-6%
8.Probable infection in a waiting room0or0.0%0or0.0%