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

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Deptford 1912

Annual report on the health of the Metropolitan Borough of Deptford

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84
Enteric Fever.
1912 Average of
previous 10 years.
Number of Cases 9 34
Number of Deaths 2 5
Death rate per 1,000, Deptford 0.02 0.04
This disease has been endemic in the borough for many
years. There has been no serious outbreak of the disease
during the last ten years, and only once in that time have we
had more than 40 cases notified in the one year.
During the past year we had 9 cases notified, as compared
with 13 cases in 1911, 24 in 1910, and 33 in 1909. This year
therefore was exceptional, as showing the lowest number on
record of cases notified from this disease.
The prevalence of this disease is generally considered an
index of the sanitary state of a district, and such a small
number of cases in so densely populated a town is an indication
of a good sanitary condition as regards its water carriage system,
sewage, drainage, etc. It also indicates that Deptford has a
good pure water supply, which is indeed the case.
Two deaths were attributed to this disease during the year,
compared with 2, 4, and 6 in the preceding three years.
As it is so obviously necessary in the patient.s interest to
secure a speedy recognition of the condition with a view to
recovery, so is it necessary to avoid the terrible disabilities
incurred by . carriers . when their condition becomes known.
As it is in the public interest that those who are . carriers .
should be recognised as such, and as there is no legal power
to obtain this information we have to secure it by voluntary
co-operation between the medical attendant, patient and the
public health authority.