Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Annual report of the Medical Officer of Health, 1899
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(iv.) The cause of the excessive prevalence is probably to
be looked for in the milk supply, and the opportunities
for infection afforded by the large Board Schools.
(v.) The mildness of type of recent Scarlet Fever causes
many cases to be unsuspected, and still more to be
undetected, before they have attended school and
infected many others.
42. The additional measures desirable for controlling the
spread of Scarlet Fever are:—
(i.) The thorough inspection of country cowsheds and the
registration of the source of supply of every milk vendor.
(ii.) The periodic inspection of school children.
(iii.) Some modification in the direction of diminished
stringency of the Arsenal regulations re infectious
diseases.
Diphtheria.
43. There were 183 cases of Diphtheria, compared with
110 in 1898. Table E gives the number of cases and of deaths
in recent years.
Table E.
No. of Cases. | Case rate per 1,000 population. | No. of Deaths. | Death rate per 1,000 population. | |
---|---|---|---|---|
1891 | 37 | 0.7 | 6 | 0.11 |
1892 | 118 | 2.0 | 38 | 0.70 |
1893 | 179 | 3.2 | 65 | 1.17 |
1894 | 118 | 2.0 | 34 | 0.59 |
1895 | 148 | 2.5 | 34 | 0.58 |
1896 | 198 | 3.3 | 60 | 100 |
1897 | 131 | 2.2 | 24 | 0.39 |
1898 | 110 | 1.7 | 15 | 0.24 |
1899 | 182 | 2.8 | 16 | 0.24 |