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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64
vaccination to prevent smallpox absolutely for a certain number of years, and to
diminish its virulence for a longer time.
We need not have the smallpox in London that we have to-day—all the
trouble, inconvenience and at times unpleasant illness so abundant to-day all
because people will not listen to what they are told by those who are competent
to advise.
Diphtheria.
We received notifications relating to 72 cases of diphtheria occurring in
residents in the Borough; of these one was sent in as being a "carrier" of
diphtheria bacilli.
Of the clinical cases of diphtheria all but one were removed to hospital. The
"carrier" was also removed to hospital.

Age at Notification of 64 Clinical Cases of Diphtheria.

0—11—55—1515—2525—4545—65Total.
11924143364

Two cases were notified as laryngeal diphtheria, they were 3 and 5 years old
respectively.
Two deaths occurred, one at the age of 2 years, the other at the age of 7 years.

Secondary cases were seven in number; details follow:—

Primary CaseAgo.Date notifiedSecondary CaseAgeDate notifiedRemarks e.g. Character of Premises
J. R.5 yrs20th AprilM. R.6 yrs23rd AprilHouse let in lodgings
E. D.3 yrs17th MayP. D.1 2/12yrs25th MayHouse let in lodgings
P. H. B.l 3/12 yrs13th Sept.M. T. B.2 yrs16th Sept.House let in lodgings
O. M. P. (Hospital Nurse)20 yrs21st Oct.L. S.* (Patient)22 yrs.22nd Oct.Hospital
M. R.6 9/12 yrs9th Nov.J. R.2 yrs11th Nov.House let in lodgings
W. A.39 yrs8th Dec.H. A.3 yrs10th Dec.Flat in Tenement Dwellings
— F. (Hospital Nurse)22 yrs31st Dec.— w.* (Patient)30 yrs31st Dec.Hospital

*The secondary case occurred in the ward in which the primary case worked.
Two "return" cases were notified from the same family nine days after the
return home of the primary case from hospital.
Three cases of diphtheria were removed on the 31st December, 1928, and are included
because, for statistical purposes, the year 1929 commenced on the 30th December of the
previous year. The primary case (B.G.) is interesting as an example of recurring diphtheria.
This patient was first removed with diphtheria in January, 1927. B.G.'s second attack and
removal to hospital occurred in January, 1928. He was again notified for a third time in