London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Finsbury 1904
Report on the public health of Finsbury 1904 including annual report on factories and workshops
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The incidence of Scarlet Fever, since the Borough's formation, is shown in the following table:—
| No. of Cases per 10,000 of population. | No of Deaths per 10,000 of population. | Case Mortality. No. of Deaths por 100 cases notified. | |
|---|---|---|---|
| 1901 | 48.1 | 1.8 | 3.8 |
| 1902 | 37.9 | 1.5 | 3.9 |
| 1903 | 28.1 | 1.2 | 4.2 |
| 1904 | 32.6 | 1.7 | 5.2 |
Direct personal infection lias been traceable to other cases of
Scarlet Fever in the same family in 59 instances. Direct personal
infection lias been traceable in other cases in schools in 10 instances.
These seem to be fairly definitely proved cases of direct personal
infection in which it was possible to determine the person from
whom infection had been derived. Enquiry has also elicited the
fact that in 09 other cases personal infection was indirectly
obtained in school or in the same buildings or playground. Eight
cases of the disease appear to have been contracted in hospitals,
and five cases were apparently derived from "return" cases. Two
cases were possibly due to contact with infected clothes after the
removal of the patient, but it is quite probable that in practice
this channel of infection plays a larger part than is commonly
supposed.
Marked insanitary conditions were found in 38 homes in which
Scarlet Fever had occurred.
The five "return" cases were traced to previous patients in the
same family having been returned from hospital apparently not
completely healed. The cases were as follows:—
1. J. C. W., m., in., 25 years, 160, G. Buildings. Notified March 20th.
Onset, of illness, March 12th. Return case, daughter E., aged 6
years, returned from hospital February 24th. Sequelœ: marked
coryza.
2. E. L., f., 16 months, 15, I Row. Notified June 6th. Onset of
illness, a few days previously. Return case, brother, returned
from hospital May 18th. Sequelœ : nasal discharge.