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

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Islington 1903

Quarterly report of the Medical Officer of Health. First quarter, 1903

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13
decrease of 1.28 per 1,000 on the mean rate (3.63) of the preceding ten first
quarters.
Diphtheria and Membranous Croup were not so prevalent, but
were, however, responsible for 146 cases of illness, or 36 below the corrected
average (182) of the first quarters of the preceding ten years. The attack-rate
was equal to 172 per 1,000 inhabitants annually, or 0.43 per 1,000 below the
mean rate (2.15) of these quarters. In January the cases averaged 14 per
week; in February they fell to 11 per week; and in March to 11 per week,
The weekly average for the quarter was 11 cases. The chief incidence of the
disease fell on Lower Holloway, Upper Holloway, Tollington and Tufnell
Wards, where the attack-rates were respectively 4.53, 1.95, 1.84 and 1.58 per
1.000 inhabitants.
In London the attack-rate was 1.95 per 1,000, and in the Encircling
Boroughs 2.18.
Enteric Fever was notified in 23 instances, or 22 less than the corrected
average of 45 which obtained during the first quarters of 1893.2. The attackrate
was 0.27 per 1,000 annually, or 0.26 per 1,000 below the mean rate (0.53)
of the first quarters during the last ten years. In London the rate was 0.38
and in the Encircling Boroughs 0.43 per 1,000.
Typhus Fever.—Nil return.
Erysipelas.—Sixty-three cases were notified, or 21 less than the
corrected average (84) of the first quarter of the preceding ten years, the
attack-rate being 0.74 per 1,000, as compared with 0.96 in London, and 0.96
in the Encircling Boroughs.
Puerperal Fever.—Four notifications were received, being in the proportion
of 1.77 cases per 1,000 births. These figures represent a decrease of
3 on the average number of cases and of 1.32 in the proportion of attacks to
births.
Continued Fever.—Two cases were notified, compared with a corrected
average of 1, in the first quarters of the ten years 1893-1902.
HOSPITAL TREATMENT OF THE INFECTIOUS DISEASES.
There were 316 cases isolated in hospital equal to 72.3 per cent. of the
437 cases which were notified during the quarter.