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

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Holborn 1929

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

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118
Spread in Family.
There was a. spread of infection in 1 family in which 2 cases occurred.
Removals.
Twenty-nine cases were removed:—
22 to the London Fever Hospital.
6 to M.A.B. hospitals.
1 to a voluntary hospital.
Application was made by the authorities of a large institution in the Borough for
removal to the hospitals of the Metropolitan Asylums Beard of a number of cases of illness
certified to be "measles." On admission to the hospital the patients were found to be suffering
from German Measles. The Metropolitan Asylums Board were reluctant to admit secondary
cases from the same institution although certified as measles on the grounds that such patients
would also be found to be suffering from German measles, a disease for which the Board's
hospitals were not available. There was no available accommodation at the London Fever
Hospital. The incident emphasised the difficulty experienced by large residential
institutions when faced by an outbreak of infectious disease for which provision
is not made in the hospitals cf the Metropolitan Asylums Board and points to the need
of facilities for isolation of such cases being provided by all such institutons.
Epidemic Diarrhoea.
The disease is notifiable in only a few districts in London, and is not notifiable
in Holborn. The number of deaths of young children under two years of age
classified under the head Diarrhœa and Enteritis was 3, all of whom were under
1 year. The deaths were equal to a rate of 7.6 per 1,000 births in comparison with
10-7 for all London. The methods used to deal with the disease have been
detailed in a previous report; the most important perhaps is that during the third
quarter of the year extra visits are paid to those homes in which epidemic diarrhoea
is more likely to occur.
Nursing Arrangements.
The services of the nurses were used as follows in 1929:—
Deficient Lactation 24 Cases 248 Visits.
Complications after Pregnancy 5 ,, 132 ,,
Whooping Cough 2 ,, 34 ,,
Ophthalmia Neonatorum 4 ,, 70 ,,
Pneumonia 7 ,, 159 ,,
Influenza 3,, ]8 ,,
Tuberculosis 5 ,, 482 ,,
Puerperal Fever or Pyrexia 1 Case 33 ,,
Total 51 Cases 1,176 Visits.
Health and Baby Week.
Health and Baby Week was observed in the Borough during the first week in
October, when we again had the advantage of co-operation with the school