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

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Fulham 1894

Annual report of the Medical Officer of Health for the year ending December 31st, 1894

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Erysipelas.
One hundred and thirteen cases of this disease were notified,
and it was the cause of 6 deaths, 3 being of children
under one year of age.
The death of one child was ascribed to Erysipelas occuring
one month after vaccination.
NON-NOTIFIABLE ZYMOTIC DISEASES.
Measles.
This disease was epidemic in the parish in the Spring, and
was the cause of 160 deaths, of which 149 occurred during
the three months March, April and May. The average
number of deaths during the preceding 8 years was 69. Of
the deaths, 37 were those of children under the age of one
year, and 111 of children between one and five years.
The death-rate from the disease was To in Fulham and
0-7 in the whole of the Metropolis.
The mortality from Measles showed a marked excess
throughout London last year; but, excepting Limehouse,
Fulham showed the highest proportional fatality of any
sanitary area.
The epidemic commenced in the southern part of the
parish, among the children attending the Langford Road
Board School, which was, at the request of the Sanitary
Authority, closed from March Ist to March 28th, with
apparently good effect to the district served by it.
The question of the desirability of adding Measles to the
list of notifiable diseases was considered by the Vestry but
was deferred, as it was recognised that to commence notification
when a severe epidemic was prevailing would simply
result in a large expenditure of money, without having the
slightest effect in checking the spread of the disease. If
Measles is to be notified, the notification must be commenced
when the district is free from the disease, so that such
measures as are possible may be taken at the outset to
check it. As the 160 deaths from it must have represented
something like 4000 cases, it is clear that the cost of