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

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Chelsea 1923

Annual report for 1924 of the Medical Officer of Health

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11
Erysimelas.
Thirty-six cases of Erysipelas were notified during the year. Three
deaths were registered of Chelsea residents during 1924.
Scarlet Fever.
During the year, 87 cases of Scarlet Fever were notified in Chelsea,
as against 111 in 1928, and 197 in 1922. Two military cases also occurred
at the Duke of York's Headquarters and were removed to Hospital.
No death occurred during the year from this disease in Chelsea. Of
the total cases notified, 77 were removed to hospital, or 88 per cent.,
as against 95 per cent, in 1928, and 91 per cent, in 1922. The month
of greatest prevalence was October (15 cases) and of least prevalence
April (3 cases). Information was received from the Metropolitan Asylums
Board that 7 of the cases sent to hospital proved not to be suffering from
Scarlet Fever. The percentage of cases of school age (3 to 13 years),
was 62, as compared with 74 in 1923, and 69 in 1922.
Diphtheria.
During the year 81 cases of Diphtheria were notified in Chelsea,
as against 97 in 1923, and 120 in 1922.
The disease caused two deaths in the same family, a boy of 8 years,
and a younger brother of 8 years. A death was also reported from the
Western Hospital of a Chelsea boy, aged 4 years, who was taken away
from a temporary address in Westminster. This case was not notified
in Chelsea. The total deaths of Chelsea residents was 3 during the year.
The case fatality rate was 3.7, as against 11.3 in 1923, 11.7 in 1922,
and 5.4 in 1921.
Of the total 81 cases, 75 were removed to hospital, or 92 per cent.,
as against 90 per cent, in 1923, and 93 per cent, in 1922. The month
of greatest prevalence was November (19 cases) and the month of
least prevalence September (1 case). Information was received from
the Metropolitan Asylums Board that 11 of the cases sent to hospital
proved not to be Diphtheria.
The percentage of cases of school age (3 to 13 years) was 65, as
against 62 in 1923, and 56 in 1922.
During the year, medical practitioners sent 95 throat or nose
swabbings to the Lister Institute for bacterioscopic diagnosis, as compared
with 94 in 1923, and 73 in 1922. Of the 95 specimens, 9, or 9.5
per cent., afforded positive evidence of the diphtheria bacillus, and 86,
or 90.5 per cent., were negative, the corresponding figures for 1923 being
9.6 positive, and 90.4 per cent, negative.
Diphtheria anti-toxin both in prophylatic and curative doses is
supplied, and issued, on request, free of charge, to any medical prac