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

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Mile End 1867

The eleventh annual report of the Vestry of the Hamlet Mile End Old Town in the county of Middlesex

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15
In the course of my enquiries I found there were a
great number of unvaccinated children above one year of
age, among whom the severity and fatality of the disease
was much greater than in those who had been vaccinated.
I found several instances of this clear evidence in favor
of efficient vaccination, in the same families where
sometimes all, and in others most of the members
thereof were attacked with small pox, some mildly,
others severely, and some fatally, the degree being
influenced by previous vaccination or non-vaccination.
I communicated with the Guardians recommending
increased facilities for vaccination by establishing temporary
vaccine stations in all the poorest districts, but
in view of the impending legislation upon the subject,
it was deemed better to defer any action until the result
was known (see Report to the Committee.) By the
kindness of the Guardians the patients' books of the
Union Medical Officers are placed at my disposal, so
that I can, at any time, ascertain if infectious disease is
prevalent in any district of the Hamlet, and adopt
measures accordingly.
The number of new cases of all kinds attended by the
Union Medical Officers during the thirteen weeks ending
June 29th, 1807, were 2142, of these 478 were cases of
zymotic diseases.
Table V. shows the numbers of deaths from all causes
in the Hamlet during the year ending March, 1867.
Of the 349 deaths from ordinary zymotic diseases in
the year ending March, 1867, 287 occurred in the same
streets, places, &c., as those for the previous year,
a list of which is appended to my Cholera Report
of last year.