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

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Islington 1916

Sixty-first annual report on the health and sanitary condition of the Metropolitan Borough of Islington

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38
THE NOTIFICATION, ISOLATION, FATALITY,
and
PREVENTION OF INFECTIOUS DISEASES.
NOTIFICATION OF INFECTIOUS DISEASES.
Under the Provisions of the Public Health (London) Act, 1891.
The Principal Diseases Comprise:—
Small Pox, Scarlet Fever, Diphtheria, Membranous Croup, Enteric Fever,
Typhus Fever, Continued Fever, Erysipelas and Puerperal Fever.
The number of cases notified was 1,439, which equalled an annual attackrate
of 4.65 per 1,000 of the civil population. They were 647 below the
average (2,086) which obtained in the preceding ten years l906-15. This
decline was mainly due to a decrease, when a comparison is made with the
average of these years, of 576 cases of Scarlet Fever, of 48 cases of Enteric
Fever and of 87 cases of Erysipelas. On the other hand Diphtheria showed an
increase of 62 cases, Membranous Croup 1 case, and Puerperal Fever 1 case
when compared with the average.
In London the attack-rate was 4.91 per 1,000, or 0.26 higher than in
Islington, while in the Encircling Boroughs it was 5.34 or 0.69 higher than
here. •
Small Pox.—No case was notified in the Borough during the year;
neither was any case known since 1910, when one case occurred.
Scarlet Fever.—638 cases were notified, and they showed a decrease of
576 or 52½ per cent. on the average (1,214) of the ten years 1900-15, The
attack-rate was equal to 2.06 per 1,000 of the civil population annually, which
is a decrease of 1.65 per 1,000 on the mean rate (3.71) of the preceding
ten years.
Diphtheria and Membranous Croup were responsible for 593 cases
of illness, and were 63 above the average (530) of the preceding ten years.
The attack-rate was equal to 192 per 1,000 of the civil population annually,
and was 0.30 above the mean rate (1.62) of these years.
In London the attack rate was 2.03 per 1,000, and in the Encircling
Boroughs 2.01.
Enteric Fever was only notified in 32 instances which is 48 below the
average (80) that obtained during the ten years 1906-15. The attack-rate was
0.10 per 1,000 annually, or 0.15 per 1,000 below the mean rate (0.25) of the
last ten years.