Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Report of the Medical Officer of Health for the year 1903
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ENTERIC FEVER OR TYPHOID FEVER
The number of cases notified during , the year was 31 ; the
deaths amounted to 4 only, equivalent to an annual rate of 003
per 1,000 persons living , . Nine persons were returned by the
Metropolitan Asylum Board's Hospital authorities as not
suffering from any infectious disease, being , errors in diagnosis.
Bacteriological examinations were made in 16 cases by the
Clinical Research Association in which 9 were positive and 7
neg-ative.
Five of the cases reported were traced to the consumption of
shell-fish (oysters and cockles); no case could be traced to
eating watercress.
ERYSIPELAS.
Of this disease 134 certificates were received, whilst last
year 147 were notified; four deaths only were registered.
PUERPERAL FEVER.
Seven cases were notified and two deaths were registered,
the nurses and midwives connected with these cases were
warned not to attend any other confinement for a period of at
least 14 days, and in each case the clothing of the attendant
was disinfected by the Council's staff.
MEASLES.
As this disease is not notifiable under the provisions of the
Public Health (London) Act, 1891, it is impossible to form an
exact idea of the extent of an outbreak, except by means of
the death returns and school certificates. In accordance with
the regulations of the School Board for London, certificates
were received from the school teachers to the number of 273 as
against 715 for the previous year. The deaths registered were
72, of these 71 were children under five years of age.
In April the London County Council made an order applying
the provisions of the Public Health (London) Act 1891 to
Measles as a dangerous infectious disease ; such provisions,