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

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Islington 1918

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

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1918]
16
decline was due to a decrease, when a comparison is made with the average
of these years, of 634 cases of Scarlet Fever, of 35 cases of Diphtheria, of 31
cases of Enteric Fever, of 81 cases of Erysipelas, and of 15 cases of Puerperal
Fever. On the other hand Small Pox showed an increase of 2 cases when
similarly compared.
The above rate of 3.93 per 1,000 of the civil population is further
increased to 14.90 per 1,000 when the 3,150 cases of Measles notified under the
"Public Health (Measles and German Measles) Regulations, 1915,'' are
included.
In London the attack-rate (less Measles) was 4.37 per 1,000, or 0.44 higher
than in Islington, while in the Encirclin Boroughs it was 4.28 or 0.35 higher
than here.
Small Pox.—Two cases were notified in the Borough during the year;
no previous case was known since 1910, when one case was entered.
Scarlet Fever.—432 cases were notified, or a decrease of 634 or 40 per
cent. on the average (1,066) of the ten years 1908-17. The attack-rate was
equal to 1.51 per 1,000 of the civil population annually, which is a decrease of
1.81 per 1,000 on the mean rate (3.32) of the preceding ten years.
Diphtheria and Membranous Croup were responsible for 518 cases
of illness, and were 35 below the average (553) of the preceding ten years.
The attack-rate was equal to 181 per 1,000 of the civil population annually,
and was 0.09 above the mean rate (1.72) of the decennial period.
In London the attack-rate was (2.03) per 1,000, and in the Encircling
Boroughs 2.03.
Enteric Fever was only notified in 30 instances which is 31 below the
average (61) that obtained during the ten years 1908-17. The attack-rate was
0.10 per 1,000 annually, or 0.09 per 1,000 below the mean rate (0.19) of the
last ten years.
In London the rate was 0.09 and in the Encircling Boroughs 0.09 per
1,000 of the civil population.
Typhus Fever.—Nil return.
Continued Fever.—Nil return.
Erysipelas—141 cases were notified, or 81 below the average (222) of
the preceding ten years, the attack-rate being 0.49 per 1,000 ot the civil
population, as compared with 0*50 in London and 0.54 in the Encircling
Boroughs.