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

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Greenwich 1919

The annual report made to the Council of the Metropolitan Borough of Greenwich for the year 1919

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36
Zymotic Enteritis or Summer Diarrhœa. In July this
Council made an emergency order requiring the notification of all
cases of Zymotic Enteritis or Epidemic Diarrhœa occurring in persons
under the age of five years, and before this emergency order
had expired a similar order of a permanent character was made,
so that this disease in persons under the age of five years is now
permanently notifiable throughout the Borough, and the provisions
of Section 57, 59 and 60 of the Public Health (London) Act, 1891
apply accordingly. Under the provisions of these sections 142
cases of Diarrhoea were notified throughout the whole of the
Eorough, 63 being under one year of age; 78 between one and five;
1 between five and fifteen. Thirty-four of such notifications related
to patients in East Greenwich, 62 in West Greenwich, 26 in St.
Nicholas and 20 in Charlton.
There were 28 deaths ascribed to this disease, comparing with
37 in the previous year.
Whooping Cough. The order made in Nov., 1917, requiring
the notification of cases of Whooping Cough, being due to expire
on 31st October, 1919, this Council during the year made a further
order, continuing the notification of cases of Whooping Cough until
October 31st, 1921, and applying the provisions of section 57, 66
and 68 (1) (a) and (b) of the Public Health (London) Act, 1891.
and accordingly under these provisions 141 cases were notified
(compared with 497 in 1918), 20 being under one year of age,
62 from one to five, and 59 from five to fifteen; the districts concerned
being East Greenwich, 55; West Greenwich, 55; St.
Nicholas, 2, Charlton, 28, and 1 in Kidbrooke. Each of these
cases was visited, and leaflets and instructions left together with
verbal advice respecting the isolation and care of the patient.
Epidemic Cerebro-Spinal Meningitis or Cerebro-Spinal
Fever. There were 6 cases of Cerebro-Spinal Meningitis notified
during the year, 5 in East Greenwich and 1 in Charlton. One of the
cases removed to Hospital as suffering from Cerebro-Spinal Fever
was returned as wrongly diagnosed.
Acute Polio-Myelitis or Acute Polio-Encephalitis. This
disease was permanently added to the list of notifiable infectious
diseases during 1914, on an order of the London County Council,
approved by the Local Government Board. One case was notified
during 1919. There were 2 cases in 1918, 0 in 1917 and 2 inl916.
Ophthalmia Neonatorum. During the year 20 cases of this
disease have been notified, 8 being in East Greenwich, 8 in West
Greenwich, 2 in St. Nicholas and 2 in Charlton.