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

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Hampstead 1921

Report for the year 1921 of the Medical Officer of Health

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46
The large number of cases occurring in the Town Ward is due to
an outbreak which occurred in an Orphanage situated in that Ward, and
the number of cases occurring there was 13.
Encephalitis Lethargica, Acute.
10 cases were reported and 4 deaths occurred. 6 of the patients
were removed to hospital and 4 were nursed at home. 6 of the patients
made a total recovery, 1 partially recovered, and 3 died.
Enteric Fever.
The number of cases notified was 10 as compared with 23 in 1920.
The attack rates per 1,000 of the population was 0.11. One case, or 10
per cent., proved fatal as compared with 1 death, or 4 per cent., in 1920.
In 2 instances examinations of specimens were made with negative
results at the Lister Institute.
Erysipelas.
25 cases were notified, as compared with 39 cases in 1920. The
attack rate per 1000 of the population was 0.29. Of the cases notified,
4, or 16 per cent., were removed to New End Hospital or Nursing
Homes.
Scarlet Fever.
371 cases of scarlet fever were notified during the year, as compared
with 253 in 1920. The number of cases per 1000 of the
population was 43. 5 cases, or 1.3 per cent., proved fatal as compared
with 4, or 1.6, in 1920. Of the cases notified, 318, or 86 per cent., were
removed to hospital.
In the Autumn an outbreak occurred at an Institution in the
Belsize Ward, this accounting for the high number of cases in that
Ward.
As will be seen from the statistics, the disease was unusually
prevalent in the Kilburn Ward, no less than one-third of the total
number of cases occurring there.
Small-pox.
No case was notified during the year.
Vaccination.
Of the total births dealt with by the Vaccination Officer, amounting
to 1500, in 1921, 730 were successfully vaccinated. In 8 cases the
children were insusceptible of vaccinnation. In regard to 403, certificates
of Conscientious Objection were obtained; 60 died before
vaccination was performed; 41 cases of vaccination were postponed,
and 258 remained to be dealt with.