[Report of the Medical Officer of Health for Fulham Borough] page 89 90

Fulham 1938

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

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Table: TABLE 27. NUMBER OF CASES OF INFECTIOUS DISEASE NOTIFIED FROM 1900-1938 INCLUSIVE

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TABLE 27. NUMBER OF CASES OF INFECTIOUS DISEASE NOTIFIED FROM 1900-1938 INCLUSIVE

	1900	1901	1902	1903	1904	1905	1906	1907	1908	1909	1910	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936	1937	1938
Small-Pox	9	16	94	11	-	-	-	-	-	-	-	-	-	-	-	7	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Scarlet Fever	552	600	552	404	294	779	674	668	596	511	354	384	484	766	1,042	621	286	234	228	371	930	961	626	466	360	398	311	360	416	489	595	331	543	720	691	317	323	319	264
Diphtheria	641	644	429	293	302	286	403	604	400	322	257	311	231	270	272	271	312	237	206	336	623	579	438	277	259	276	345	390	359	370	402	225	177	185	473	375	179	206	212
Enteric Fever	92	133	74	80	39	56	45	58	39	41	18	38	26	34	40	14	5	11	15	6	25	7	16	3	7	10	8	11	41	2	13	3	11	5	4	10	16	3	4
Erysipelas	154	132	121	115	131	143	141	128	127	115	115	115	115	121	152	89	73	50	45	75	102	92	94	76	92	74	77	58	81	78	74	86	106	104	117	56	63	63	68
	-	1	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Cerebro-Spinal Meningitis	-	-	-	-	-	-	-	3	4	3	7	3	2	5	1	20	12	20	8	9	5	4	1	2	2	3	4	7	4	5	2	9	8	5	6	1	4	12	6
Polio-myelitis	—	-	—	—	—	—	—	—	—	—	—	1	5	2	—	—	3	5	2	2	2	5	2	5	7	3	7	3	3	5	3	4	1	2	2	3	4	3	6
Ophthalmia Neonatorum	-	-	-	-	-	-	-	-	-	-	-	15	13	23	55	47	49	57	44	47	40	30	33	22	27	32	29	33	38	32	19	17	28	15	15	11	13	19	18
Measles	—	Notifiable from 1st January, 1916					—	—	—	—	—	—	—	—	—	—	751	2,021	1,592	615	942	396	2,438	1,951	1,692	589	3,700	463	2,099	948	2,526	110	2,682	163	2,967	41	2,875	807	1,609
Encephalitis Lethargica	—	Notifiable from 1st January, 1919					-	-	-	-	-	-	-	-	-	-	-	-	-	6	2	7	3	2	21	10	12	5	2	5	2	1	3	—	1	2	—	1	—
Pneumonia	—	Notifiable from 1st March, 1919					-	-	-	-	-	-	-	-	-	-	-	-	-	199	198	215	300	218	326	320	288	310	297	345	207	275	241	203	180	139	226	171	129
Epidemic Diarrhoea	—	Notifiable from 2nd July, 1919					-	-	-	-	-	-	-	-	-	-	-	-	-	83	51	140	17	79	40	70	50	18	60	36	31	33	22	13	14	4	6	104	72
Puerperal Fever	9	7	7	19	8	24	17	15	17	34	20	23	30	19	33	24	22	15	12	35	32	27	31	32	26	21	15	16	16	23	17	11	11	11	4	6	6	2	5
Puerperal Pyrexia	—	Notifiable from 1st October, 1926					-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	12	28	51	51	33	47	37	27	37	28	25	25	35
Trench Fever	—	Notifiable from 1st March, 1919					-	-	-	-	-	-	-	-	-	-	-	-	-	1		-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Dysentery.	-	Notifiable from 1st March, 1919						-	-	-	-	-	-	-	-	-	-	-	-	9	—	2	1	—	—	-	—	6	1	2	-	—	2	—	1	4	7	29	29
Malaria	—	Notifiable from 1st March, 1919					-	-	-	-	-	-	-	-	-	-	-	-	-	104	20	9	1	1	3	-	—	1	4	—	2	—	2	1	-	-	-	-	-
Whooping Cough	—	Notifiable from 1st October, 1938					-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	17
Totals	1,457	1,533	1,277	922	774	1,288	1,280	1,476	1,183	1,026	771	890	906	1,240	1,595	1,093	1,513	2,650	2,152	1,898	2,972	2,474	4,003	3,134	2,862	1,806	4,858	1,709	3,473	2,391	3,933	1,152	3,876	1,454	4,512	997	3,747	1,764	2,474

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* Notifiable since 1st October, 1938, in respect of the first case in a house within a period of two
months. Before that date, all cases of Measles were notifiable.
ZYMOTIC DISEASES
From Table 28 on pages 89, 90 and 91 it will be seen that the zymotic death rate was slightly
lower than that of the previous year and that there were no features calling for special comment.
DIPHTHERIA
During the year 212 cases were notified, an increase of six over the previous year, the attack
rate being 1.5 per thousand of the population, the same as in 1937. All but one of the cases were
removed to hospital for treatment, the remaining case being treated at home and the diagnosis not
being confirmed as diphtheria (the patient eventually underwent a mastoid operation). Four deaths
occurred, the fatality rate being the same as in 1937, namely 1.5 per cent. The age distribution of
the cases is shown in Table 26, page 88. The disease was prevalent all through the year, as will be
seen from Table 29 showing the monthly distribution; there were approximately 50 cases in each
quarter of the year.
DIPHTHERIA ANTI-TOXIN
This is available to medical practitioners at the Town Hall upon request and during the year
43 issues of 8,000 units each were made, 26 of them being in a special packing with the serum already
in a "syringe."

Table: TABLE 28. NUMBER OF DEATHS FROM THE SEVEN PRINCIPAL ZYMOTIC DISEASES DURING 1900-1938 INCLUSIVE

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TABLE 28. NUMBER OF DEATHS FROM THE SEVEN PRINCIPAL ZYMOTIC DISEASES DURING 1900-1938 INCLUSIVE

	1900	1901	1902	1903	1904	1905	1906	1907	1908	1909	1910	1911	1912	1913	1914	1915	1916	1917	1918	1919	1920	1921	1922	1923	1924	1925	1926	1927	1928	1929	1930	1931	1932	1933	1934	1935	1936	1937	1938
Small-Pox	-	3	13	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	1	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Measles	80	37	168	62	64	85	53	69	71	74	65	64	65	49	31	121	18	75	46	14	24	2	41	23	29	2	47	—	15	10	27	1	26	2	31	—	14	2	6
Scarlet Fever	23	20	19	8	4	23	18	14	17	10	7	6	6	4	21	17	5	4	4	5	9	15	12	5	5	3	4	1	2	3	2	2	2	6	1	—	1	2	2
Diphtheria	65	48	51	24	24	24	33	38	32	39	14	27	15	15	23	27	20	16	12	32	44	43	33	20	11	11	14	11	13	10	19	9	10	8	30	12	10	4	4
Whooping Cough	54	76	65	48	58	82	31	75	34	48	60	28	45	27	43	51	32	22	58	4	17	30	26	14	14	35	6	8	12	25	5	7	12	14	7	5	6	7	5
Enteric Fever	19	22	9	16	6	10	13	8	10	4	2	8	8	8	9	4	1	2	5	2	4	1	4	—	1	—	—	2	1	—	1	2	1	—	1	—	3	—	—
Diarrhoea and Enteritis (Under 2 years)	181	199	140	165	235	202	275	115	130	105	74	211	34	100	127	81	64	71	60	44	36	71	27	25	22	36	30	19	53	35	34	15	22	20	18	19	22	31	24
Totals	422	405	465	323	391	426	423	319	294	280	222	344	173	203	254	304	140	190	185	101	134	162	144	87	82	87	101	41	96	83	88	36	73	50	88	36	56	46	41
Zymotic Death Rate	3.17	2.93	3.25	2.19	2.57	2.73	2.66	2.00	1.94	1.83	1.45	2.25	1.12	1.28	1.62	2.00	0.90	1.31	1.29	0.66	0.88	1.30	0.93	0.53	0.50	0.53	0.60	0.20	0.60	0.50	0.57	0.25	0.49	0.33	0.61	0.25	0.38	0.33	0.30

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

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Fulham 1938

Table: TABLE 27. NUMBER OF CASES OF INFECTIOUS DISEASE NOTIFIED FROM 1900-1938 INCLUSIVE

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Table: TABLE 28. NUMBER OF DEATHS FROM THE SEVEN PRINCIPAL ZYMOTIC DISEASES DURING 1900-1938 INCLUSIVE