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

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Malden and Coombe 1903

[Report of the Medical Officer of Health for Malden and Coombe]

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6
Scarlet Fever 38
Diphtheria 2
Measles 29
Erysipelas 7
Enteric Fever 1
Total 77
SCARLET FEVER.
The 38 cases were distributed as follows:—
Coombe 0
Old Maiden 0
New Maiden 38
No case was notified either in Coombe or Old Maiden. The
38 cases occurred in New Maiden. Last year 29 cases were
notified in New Maiden, 12 in Old Maiden, and 1 in Coombe.
Although there are 8 cases less than last year in the whole district,
New Maiden has 9 cases more. Thirty-five were sent to the
Isolation Hospitals. Owing to want of room at Tolworth 13 cases
were placed at Cuddington—Epsom Rural Hospital—and three at
their own homes.
Two cases sent to Cuddington proved fatal. Eleven cases were
notified in July: 1 came from the North of London, 2 atttended
school in an adjoining district, and 7 attended our National Schools,
contracting the disease from a mild case which had not been
recognised by the parents, and so sent to school when in a peeling
condition. Fortunately the Master of the School discovered the
peeling, and sent the boy to me. He was immediately isolated, and
the schoolroom thoroughly disinfected.
During August, September, and October 14 cases occurred.
These were certainly not due to imperfect house disinfection, for of
the total number—38—in one house there were 5 cases, in one 3, in
one 2, and in 28 a single case in each.
I drew attention last year to two cases contracted from a returned
case from a London Asylum Board Hospital, with purulent discharge
from nose and ears. I have this year to report two instances
of contagion from returned cases in our own district. One of the
five cases in one house, notified on July 14th, was sent to Tolworth
Isolation Hospital. As this Hospital had no bed vacant, the case
was sent on to Cuddington—Epsom Rural Isolation Hospital. The
house in which this case occurred was thoroughly disinfected, the
mother and three other children going so the seaside for change.