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

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Chelsea 1902

Annual report for 1902 of the Medical Officer of Health

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The ages of the patients were as below:—

Under 1.1-5.5-10.10-20.20-30.30-40.40-50.50-60.60-70.
11132013431

The ages of the Unvaccinated were 1 month, 3 years, 7 years,
13 years, 27 years, 28 years, and 34 years. All but two of these unvaccinated
cases died of the disease. Of the two that recovered, one
was the case of a little girl of 3 years, who was thought to be suffering
from chicken-pox, and was not removed to hospital. The other case
was that of a man of 28, who had a fairly mild attack, and was only
detained in hospital 33 days.
All but one of the 43 notified cases were removed to hospital. In
this one case, the illness was practically over before the nature of the
disease was recognised. Of 28 cases that recovered, the period of whose
detention in hospital is known, the average duration of hospital isolation
was 26½ days, the shortest period being 14 days, and the longest 59
days; of the 8 fatal cases the average duration of the disease was
10 days from the onset, the shortest being 7 days, and the longest 16
days.
Of the 42 cases removed to hospital, the removals were effected in
one case on the second day of the disease, i.e. second day from appearance
of symptons; in 8 cases on the 3rd day; in 9 cases on the 4th
day; in 11 cases on the 5th day; in 7 cases on the 6th day; in 3
cases on the 7th day ; and in one case each on the 8th, 10th, and 12th
days of the disease. In this last case the patient was too ill to be
removed on the day of notification, and had to be kept at home for two
days subsequently.
Of the 41 cases occurring in 1902, 5 occurred in January, 8 in
February, 7 in March, 9 in April, 9 in May, and 3 in June.
Three of the cases occurred in a common lodging house in Smithstreet
(notifications on the 27th February, 4th and 7th March).
Fortunately there was no spread from these cases, either in this common
lodging house, or in other similar houses, or in the neighbourhood.
In each case the patient was removed to hospital as soon as the
eruption appeared on the 3rd day of the disease. In two out of the 47
cases, the patients were servants in large houses in the Borough. In
the remainder, the patients were for the most part lodgers in tenement
houses scattered about the Borough.
Out of (he 47 cases, in 32 there was no definite history of infection
ascertainable. In 15 cases there was a more or less definite history of
exposure to infection. Seven of these cases were secondary to cases
previously occurring in the Borough. In 8 cases the infection was