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

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Chelsea 1919

Annual report for 1919 of the Medical Officer of Health

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8
Enteric Fever.
The number of cases of enteric fever notified in Chelsea in 1919 was
2, as against 4 in 1918. All the cases were removed to hospital. There
were no deaths from this disease.
Paratyphoid Fever.
Five cases of paratyphoid fever were notified in 1919. One case only
was removed to hospital. There were no deaths. Of 2 specimens of blood
sent for examination, one was positive for paratyphoid A., and the other
was negative for paratyphoid, A. and B. No history of infection could
be obtained in any of these cases.
Diarrhoea and Enteritis.
The deaths in Chelsea from diarrhoea and enteritis in 1919 were 17 in
number, 13 being of infants under 1 year of age. Eight of the deaths
occurred in the third or summer quarter of the year. In 1918, there were
11 deaths from these diseases. In connection with this disease, 105 visits
were made to homes, and 54 cases were as a result discovered.
Dysentery.
Only one case of dysentery was notified in 1919 (July). The patient,
a man of 31 years, was working in a shop in the Borough as a butter salesman.
He had had dysentery whilst in the Army in Flanders in
November, 1915, and was in hospital for 5 months. He had had occasional
attacks since 1915, during hot weather. At my suggestion he left his
work, and went into hospital. The excreta were examined for bacilli,
entamœbœ and cysts, but with negative results. There were 2 deaths
from dysentery (colitis) of Chelsea parishioners in lunatic asylums, and
one from dysentery contracted in Egypt of a Chelsea parishioner at
Aberdovey.
Malaria.
Ten cases of malaria were notified in 1919. They were all cases of men
who had been first attacked whilst serving abroad in the expeditionary
forces—5 in Salonica, 1 in Egypt, 1 in Palestine, and 1 in Mesopotamia.
In two cases no information was obtained as to residence at the time of
first attack.
Influenza.
Influenza caused 104 deaths in 1919, as against 234 in 1918. Of these
104 deaths, 88 occurred in the first quarter of the year, 10 in the second
quarter, 2 in the third quarter, and 4 in the fourth quarter. The ages
and sex of the 104 fatal cases were as follows:—
under 15 15—45 over 45 Total.
Males 6 13 35 54
Females 4 27 19 50
Both sexes 10 40 54 104