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

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Hackney 1905

Report on the sanitary condition of the Hackney District for the year 1905

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35
genuine cases notified during the year. This gives an attack rate of
.65 per 1,000. This rate is lower than that during 1904, the number
of cases notified during this latter year having been 175, and the
attack rate .77 per 1,000.
The disease was prevalent in Hackney during the whole year,
but at no time did the incidence reach a higher point than 9 cases in
one week, this level being reached twice, in the last week of
September and the third week of November.

The following table gives the distribution of the cases in the sub-districts of the Borough.

Sub-districts.North.Central.South-East.South-West.
No. of Cases of Typhoid.22485029
Attack rate per 1,000 living..43.94.80.47

Of the number notified 132 were removed to hospital, which is
equivalent to 80 per cent, of the total.
The number of deaths from enteric fever equalled 26, which is
equivalent to a mortality rate of 15.7 per cent, attacked, and .11 per
1,000 living persons.
The mortality rate of enteric fever for London for the same
period is .05 per 1,000 living.
During the year 30 specimens of blood from patients suspected
to be suffering from enteric or typhoid fever were examined; of
these 16 gave the reaction known as "Widal's." In the remainder
the examination gave negative results.
In my Annual Eeport for the year 1902 I commented upon the
undesirableness of enteric fever patients being nursed at home unless
C