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

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Kensington 1914

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

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15
THE INFECTIOUS DISEASES.
For administrative purposes the epidemic infectious diseases are divided into two classes, those
which the householder is obliged by law to notify to the Medical Officer of Health, and those which are
not compulsorily notifiable. In Kensington the following diseases are compulsorily notifiable:—
Small Pox. Typhus Fever.
Plague. Relapsing Fever.
Cholera Puerperal Fever.
Diphtheria Cerebro-spinal Fever.
Erysipelas. Glanders.
Scarlet Fever. Anthrax.
Typhoid or Enteric Fever. Hydrophobia.
Acute Poliomyelitis. Ophthalmia Neonatorum.
SMALL POX
No case of small pox occurred in Kensington during the year; 3 cases in all were notified in
the Metropolis, and of this number one each occurred in the Cities of London and Westminster
and the Port of London.
DIPHTHERIA.
During the year 190 cases of diphtheria were notified and of these 13 proved fatal.

The seasonal incidence of diphtheria, with that of scarlet fever and enteric fever is illustrated by the subjoined Table:—

Report for four weeks endedNo. of Notifications.
Diphtheria.Scarlet Fever.Enteric Fever.
January 3116540
February 2815563
March 2811500
April 259621
May 2317661
June 2011720
July 186460
August 1514681
September 1211822
October 10141351
November 7231071
December 525850
January 2, 191518600
19094310

Anti-toxin was administered at the Council's expense to three diphtheria patients. The Council
no longer pay for the preventive treatment of healthy contacts with anti-toxin, an alteration in
procedure which appears to be fully justified by the rarity of multiple cases in infected households.
Bacteriological reports on 176 cases of suspected diphtheria were furnished free of charge
to medical practitioners, the diphtheria bacillus being found in 27 of the specimens examined.
This work is carried out at the Lister Institute and paid for by the Borough Council. In 23 houses
where diphtheria occurred defects in the drainage system were reported and remedied at the
instance of the sanitary inspector for the district.