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

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Carshalton 1898

[Report of the Medical Officer of Health for Carshalton]

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6. Of Enteric(otherwise calledTyphoid) Feverthere were four eases, the chief features of which are shown in the following Table. None of these attacks proved fatal, but one case, which had been notified in the previous year, ended fatally in January of this year.

Situation of Premises.Persons attacked.Dates of attacks.Remarks.
Wandle MountBoy, Aged 5.JanuaryThe drains at the back of the house were found to be leaking badly, and to be otherwise defective. He was removed to Hospital on January 26th.
Hackbridge RoadMan, Aged 28.August 22ndHe was attacked two days after his return from the West of England, where he had been staying for a month.
Laburnum VillasGirl, Aged 15.November 11thShe was removed to Hospital on January 10th.
Harold RoadMan, Aged 25.December 10thPatient was removed to the Joint Hospital on December 28th. He worked daily in another district.

7. Diarrhaa, which was very fatally prevalent among infants last summer in some other parts of
the county, caused 11 deaths, all of which were among children under five years of age.
The total deaths from the "Seven Principal Zymotic Diseases" were 12 in number—viz., one from
Enteric Fever and 11 from Diarrhoea—and were at the rate of 1-9 per 1,000 of the population.
(See also Tables III. and IV. at the end of the Eeport).
As regards the other infectious diseases which have to be notified under the above-mentioned Act:
No case of Membranous Croup, Puerperal Fever, or "Continued Fever" was notified. Of Erysipelas, there
was one case in October.
The following is a summary of the further action which was taken for preventing the spread of some
of these diseases:—The houses infected with Enteric Fever, Scarlet Fever, or Diphtheria, were visited by
the Inspector and myself; isolation of the sick was inculcated, and was assisted by the removal of 36 to
the Isolation Hospital; disinfectants for use during illness were in some cases supplied and their proper
use explained; all nuisances and sanitary defects discovered upon the premises were remedied as far as
was practicable; and, after the death, removal, or recovery of the sick, formal notices to cleanse and
disinfect the infected rooms and their contents were, in most instances, served on the owners or occupiers.
From the houses of the poor the infected bedding was removed to the Isolation Hospital, and was
disinfected in the Washington Lyon Steam Disinfector.

The number of patients who were removed to the Joint Isolation Hospital for treatment during the year, from each of the districts forming the United District, with the nature of their illnesses, is shown in the following Table:—

Epsom Rural.Sutton Urban.Carshalton Urban.Leatherhead Urban.Total.
Scarlet Fever2250303105
Diphtheria1252367
Typhoid Fever235

III.—Summary of other Sanitary Proceedings, &c., which were taken
during the year.
1. The Council this year again contracted for the WEEKLY removal of house refuse from premises
in their district, instead of for its fortnightly removal as in previous years, with the result that fewer
complaints were made of its non-removal.
2. The slaughterhouses, the bakehouses, and the premises of the registered cow-keepers, dairymen,
and purveyors of milk, weie inspected.