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

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Holborn 1923

Annual report of the Medical Officer of Health, for the year 1923

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47
Malaria.
No case of malaria was notified.
84 cases were notified in London.
Encephalitis Lethargica.
No case of encephalitis lethargica was notified in the Borough during the year.
105 cases were notified in London, with 49 deaths.
Acute Poliomyelitis.
Two cases of acute poliomyelitis were notified; one patient had completely
recovered by the end of the year. The other, who was notified in May, still has
some residual paralysis and is attending hospital as an out-patient.
91 cases were notified in London, with 13 deaths.
(See also page 74.)
Pneumonia.
Forty-eight cases of pneumonia were notified during the year. Five of these
were influenzal pneumonia.
The 43 cases of primary pneumonia were notified at the following ages:—
Under 1 year, 6; from 1 to 5 years, 4; from 5 to 15 years, 1; from 15 to 25 years,
3; from 25 to 45 years, 8; from 45 to 65 years, 15; and 65 years and upwards, 6.
Twenty-one of the 43 died. Thirteen were treated at home; seventeen were
removed to voluntary hospitals; twelve to Poor Law Infirmaries; and one to a
private nursing home. Two of the patients were nursed by the Metropolitan
Nursing Association under the arrangements made by the Council.
4,764 cases were notified in London.
It was possible to obtain some further information in 41 cases; of these 4
resided in common lodging houses, 21 in tenement lodging houses, 5 in model
dwellings, 4 in caretakers' residences in offices, 3 in separate private dwellinghouses,
1 in a boarding house and 3 in hotels.
The cleanliness of the homes was reported to be satisfactory in 27 cases, but
only fairly so in 14. The economic conditions of the families concerned was found
to be good in 8 cases, fair in 18, poor in 11, and very poor in 4; 9 cases were
nursed in a separate room.

In the majority of cases the disease was not ascribed to any cause, but the following was given in 14 instances: —

Following chronic bronchitis5
Neglected cold1
Following chill caught on a motor trip1
Chill after sleeping on roof during hot weather1
After getting very wet1
Exposure to bad weather (night watchman)1
After pleurisy2
Excessive drinking2

Influenza.
There was only 1 death from influenza in comparison with 21 in 1922 8 in
1921, 11 in 1920, 46 in 1919, and 138 in 1918.