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

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Islington 1928

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

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35
[1928
The section of the Public Health Act referred to is that which enables the
authority with the sanction of the Local Government Board to provide a temporary
supply of medicine, etc., for the poorer inhabitants of their district.
ANTI-TOXIN TREATMENT.
During the year 156,000 units of Diphtheria Anti-toxin serum were issued to
Medical Practitioners in the Borough. Of this quantity 116,000 units were sold,
the total amount received by the Council being £9 7s. 6d. The remaining 40,000
units were given free, owing to the patients' limited means.
Scarlet Fever.—1,305 cases were notified, and they showed an increase of
89 on the average (1,216) of the ten years 1918-27. The attack-rate was equal
to 4.02 per 1,000 of the civil population annually, which is an increase of 0.34 per
1,000 of the mean rate (3.68) of the preceding ten years. In London the attackrate
was 3.44 per 1,000 of the civil population, while in the Encircling Boroughs
it was 3.83.
Enteric Fever.—19 cases were notified which were 3 more than the
average that obtained during the ten years 1918-27. The attack-rate was 0.06
per 1,000 annually, or 0.01 per 1,000 above the mean rate (0.05) of the last ten
years.
In London the rate was 0.01, and in the Encircling Boroughs 0.08 per 1,000
of the civil population.
Typhus Fever.—No case was notified.
Puerperal Fever.—See page 13.
Erysipelas.—184 cases were notified, and equalled the average of the
preceding ten years, the attack-rate being 0.41 per 1,000 of the civil population.
FATALITY FROM THE PRINCIPAL NOTIFIABLE
INFECTIOUS DISEASES.
By "Fatality" is meant the percentage proportion of deaths to attacks of
sickness.

During the year it was found that of the 2,260 cases notified, 60 deaths occurred, or 2.7 per cent., which contrasts with an average percentage of 3.7 in the preceding ten years 1918-27.

Years.Cases.Deaths.Fatality.
19181,127676.0
19191,993964.8
19202,8531736.0
19214,3441463.3
19222,7871023.7
19232,096482.3
19242,087*663.2
19252,194512.3
19261,919‡633.3
19271,813553.0
Mean2,321873.7
19282,260602.7

*Including 2 cases not notified. ‡Includes 1 case not notified.