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54
MEASLES. (Including German 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. 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.
On request by the School Medical Officer of Health of the London
County Council, advice leaflets are supplied to the Head Teacher of schools
in the area affected with an outbreak of Measles. These leaflets are distributed
to the parents and guardians of the children attending such
schools. Co-operation between the school nurses and the Borough
Health Visitors is being arranged.
The number of cases coming to the knowledge of the Department
during the year was 223, as compared with 493 in 1928.
Deaths.—The number of deaths was 2. One of the cases was under
two years of age.
Visiting and Nursing.—During the year, 136 visits and re-visits
Were made by the Health Visitors. Cases are also visited by the District
Nurses whenever circumstances render this necessary. Forty-one nurses'
visits were required in 1929.
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 44 cases were removed. In addition
a 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 3. (One of these, a non-resident, was
notified from a Chelsea Hospital).
All three cases were males, the ages being 21, 26 and 37 respectively.
One case was nursed at home. None of the cases proved fatal.
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 (a male, aged 66 years) from Enteric
fever in a London Hospital.
A summary of Enteric and Para-Typhoid B. cases for the past two
years is given in the following Table :—