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

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Fulham 1935

[Report of the Medical Officer of Health for Fulham Borough]

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106
SCARLET FEVER.
316 cases occurred compared with 691 in 1934. The attack rate was 2.2 (4.7 in 1934),
The age distribution and seasonal incidence of the disease are shown in the tables at the
beginning of this section (Tables 35 and 36). 307 cases were hospitalised and it is pleasing to
report that no deaths occurred from the disease.
MEASLES.
This disease, which is notifiable in Fulham, breaks out every two years in London with
clock-work regularity. It is particularly a disease of the young, being most fatal to those
under the age of five years, and, whilst it may occur any season, is most prevalent in the
spring. 1935 was an inter-epidemic year and only 41 cases were notified, compared with 2,967
in the epidemic year of 1934. Notification depends upon the calling-in of the doctor, a
proceeding which is not yet as routine as it should be in this common but dangerous disease.
It is certain, therefore, that there were cases which escaped notification. No deaths occurred.
ENTERIC FEVER.
Ten cases were notified during the year compared with four last year; no deaths
occurred from this disease.
CEREBRO-SPINAL MENINGITIS.
One case occurred during the year—a child of 1½ years. It proved fatal.
PUERPERAL FEVER.
Six cases were notified and there were three deaths from puerperal sepsis. The
incidence in 1935 was equivalent to 3.4 per thousand of the registered births (live and stillbirths)
. Three of the cases occurred at home, two in hospital and one in a nursing home.
All the cases occurring at home were removed to hospital for treatment.
PUERPERAL PYREXIA.
Puerperal Pyrexia is defined in the Public Health (Notification of Puerperal Fever and
Puerperal Pyrexia) Regulations of 1926, as "any febrile condition, other than a condition
which is required to be notified under the Infectious Diseases (Notification) Acts, occurring
in a woman within twenty-one days after childbirth or miscarriage in which a temperature of
100.4° Fahrenheit (38° Centigrade) or more has been sustained during a period of 24 hours
or has recurred during that period."
Twenty-six cases were notified during 1935 as compared with 37 during 1934. The
incidence per thousand births (live and stillbirths) was equivalent to 12.66.