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54
MEASLES.
Statistics.—This disease is not notifiable. Information as to cases
occurring in the Borough is derived from the School Authorities, Hospitals
and medical practitioners. In addition, many cases are discovered by
the Health Visitors in the course of their duties. All children suffering
from the disease are visited by the Health Visitors at frequent intervals
and advice is given as to the steps necessary to avoid complications.
The number of cases coming to the knowledge of the Department
during the year was 493, as compared with 318 in 1927.
Deaths. —The number of deaths was 3. Two of the cases were
under two years of age.
Visiting and Nursing.—During the year, 623 visits and re-visits were
made by the Health Visitors. Cases are also visited by the District
Nurses whenever circumstances render this necessary. Three hundred
and four nurses' visits were required in 1928.
Removal to Hospital.—Cases of Measles are received in the Hospitals
of the Metropolitan Asylums Board on the certificate of the Medical
Officer of Health. During the year 97 cases were removed. In addition
a large number were admitted to St. Luke's Hospital for treatment.
ENTERIC FEVER.
Notifications. —During the year the number of cases of Enteric
fever notified in Chelsea was 13.
Ten of these cases were treated in Hospital, the remainder being nursed
at home. Nine were confirmed by bacteriological investigation to be
suffering from Paratyphoid B while three were found to be suffering from
true Typhoid Fever. In the remaining case bacteriological investigation
did not confirm the clinical diagnosis.
The single fatal case occurred in a male aged 18 years, the others being
females between the ages of 22 and 55.
The history of each case was thoroughly explored but it was found
impossible to trace an unvarying causative factor between the various
cases.
Deaths.—There was one death from Enteric Fever during the year.
A summary of Enteric and Para-Typhoid B. cases for the past two
years is given below: —