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
Paddington 1901
Report on the vital statistics and sanitary work for the year 1901
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SCARLET FEVER. 29
The cases (taking all reported) were notified from 399 different addresses, or houses, the
frequency of multiple cases being—
52 houses had 2 cases each.
13 ,, ,, 3 ,, ,,
1 house „ 4 „
4 houses „ 5 „ „
1 house „ 8 ,,
The proportion of multiple cases from each Ward is indicated below :—
| Cases per House. | |||||||
|---|---|---|---|---|---|---|---|
| 1 | 2 | 3 | 4 | 5 | 8 | ||
| I. | Queen's Park | 32 | 3 | — | — | — | — |
| II. | Harrow Road | 72 | 14 | 4 | 1 | — | — |
| III. | Maid a Vale | 50 | 7 | 1 | _ | 1 | — |
| IV. | Westbourne | 65 | 10 | 1 | _ | 1 | — |
| V. | Church | 62 | 14 | 5 | — | 1 | 1 |
| VI. | Lancaster Gate, W. | 12 | — | 1 | _ | — | — |
| VII. | Lancaster Gate, E. | 10 | 1 | 1 | - | _ | _ |
| VIII. | Hyde Park | 25 | 3 | — | - | 1 | — |
The intervals which elapsed between the onsets of illness in the primary and subsequent cases
in the same households are indicated below:—
Houses with two cases each—
In 18 cases the interval was under 7 days.
„ 16 ,, ,, over 7 days but less than 28 days ; and
,, 18 ,, „ ,, 2 months.
In 7 instances the two cases were reported on the same day.
,, 7 ,, secondary cases were return cases.
„ 10 ,, ,, occurred in separate families.
,, 6 ,, primary case was treated at home.
| Intervals. | Wards. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| I. | II | III | IV. | V. | VI. | VII. | VIII. | ||
| 0 | — | — | — | — | — | — | —/ | ||
| 1 | — . | — | — | — | 1 | — | — | 1 | |
| 2 | 1 | — | — | 1 | — | — | — | ||
| a | — | — | — | — | — | — | |||
| 1 | — | — | — | — | — | 1 | |||
| 5 | — | 1 | — | — | — | — | — | — | |
| — | — | — | 1 | 1 | — | — | — | ||
| 1 | 1 | _ | _ | _ | |||||
| 2 | — | — | — | — | — | — | |||
| — | 1 | — | — | — | — | — | |||
| 1 | ___ | — | — | — | — | — | — | — | |
| 2 | — | — | 1 | 1 | — | — | — | ||
| a | — | — | 1 | — | — | 1 | 1 | ||
| — | 1 | — | — | — | — | — | — | ||
| — | 1 | — | — | — | — | — | |||
| — | — | — | 1 | 1 | — | _ | — | ||
| — | — | — | — | — | _ | — | |||
| — | — | — | — | — | — | — | — | ||
| — | — | — | — | — | — | ||||
The experience of the Department is that secondary cases attributable to personal infection
from the primary may occur at any date up to the fourteenth day after the removal of the first case
to hospital. Having regard to the delay which so frequently occurs in diagnosis and removal, it is