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

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Marylebone 1918

Report of the Medical Officer of Health for the year 1918

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The first notification came to hand on 4th March, the total number for that
month being 2. In the month of April there were also 2 cases. Of the patients, 2
were males and 2 females; 1 was an adult, aged 57, and the others children ot 9, 10
and 15 respectively.
There was no connection between the various cases and none of them gave rise
to further cases amongst persons immediately in contact with them.
Polio-Myelitis.—Of this disease 3 cases were notified and 2 died. All the patients
were females, aged 2, 5 and 14 respectively.
Erysipelas.—In all 51 cases were notified, mainly from the Workhouse Infirmary
and other institutions. Ery. ipelas was stated to be the cause of death in 5 cases.
Puerperal Fever.—Six notifications were received. Of the patients 3 died.
Ophthalmia Neonatorum.—The total number of cases notified was 28, as
against 21 in 1917. Visits were paid to all cases by the Health Visitors and in
addition 258 visits were paid by the Nurses of the Paddington and Marylebone
Nursing Association at a cost of £8 12s.
Measles and German Measles.—Measles, which had attained markedly epidemic
proportions in 1917, quietened down somewhat in 1918. Under the regulations which
came into force in 1916, 773 notifications were received (measles, 607 ; German
measles, 166) of which 90 came from parents or guardians. The total for 1917
being 2,171.
The deaths numbered 11, as against 95 in 1917 and 7 in 1916.
Practically every case was visited by the Health Visitors. Particular
attention was given to such as occurred in tenement houses, and under an agreement
entered into between the Council and the Paddington and Marylebone Nursing
Association the services of a nurse were obtained in cases in which the attack was
severe. The nurses made 411 visits and the amount expended was £13 14s. Od.
Hospital accommodation was found for 63 of the patients.
Whooping Cough.—This disease was apparently more prevalent than in 1917,
the deaths registered as due to it numbering 24 as against 9 in the previous year.
Tuberculosis.—In all, 355 cases were notified, 315 being pulmonary cases, the
remainder of the notifications (40) relating to cases in which structures other than the
lungs were affected.
The table given on page 8 contains the information required by the Local
Government Board with regard to notifications. Notifications made on Form B
relate to school children. The number, it will be noted, was 13 as against 18 in
1917.
Treatment of Tuberculosis.—Of the cases notified 171 received some form
of institutional treatment, and during the year every effort was made to obtain
admission to sanatoria of cases deemed suitable for such treatment. Of the