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

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St George (Westminster) 1877

[Report of the Medical Officer of Health for Hanover Square, The Vestry of the Parish of Saint George]

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80
increases, as shown both by lessened porcontago of deaths
and number of admissions."
He also shows that the "average duration of stay in
hospital of patients discharged recovered" was, among the
unvaccinatod, 46¼ days, while, among tho vaccinated, it
varied from 22½ days for those who had fivo or more vaccination
marks to 32¼ days for those who had only one
indifferent mark. So that it is quite clear that tho unvaccinatod
persons who recover havo tho disease far moro
seriously than tho vaccinated.
])r. William Gayton's Report shows that from tho 1st
of January to tho 31st of December, 1877, 1,936 patients
woro admitted to tho Homerton Small-pox Hospital, and of
those 328, or 18.23 por cent., died: tho mortality varied
from 46.17 por cent, among tho unvaccinatod to 1.80 por
cent. among thoso who had four or moro good vaccination
marks; the highest mortality among the vaccinated being
15.93 per cent, among thoso who only had one imperfect
mark; and the mortality umong "thoso stated to liavo boon
vaccinated, but without ovidonco," was 28.78 per cent.
Dr. Gayton also tabulates tho statistics of 5,479 cases
treated in tho llomerton Hospital botween February 1st,
1871, and December 31st, 1877.

By the courtesy of the Public Vaccinators, I am enabled to give the following return of the numbers of persons vaccinated or re-vaccinated by them during the year 1877.

District.Vaccinator.Vaccinations.Re-vaccinatlons.Total.
Hanover Square and MayfairMr. E. D. Jay173416589
BelgraviaDr.E. L.Webb418618930
KnightsbridgeMr.G. H.Pedler7748125
6689821,650

while among unvaccinatod children under five years of ago
tho mortality was 55.61 por cent.
With regard to tho efficacy of ro-vaccination, Dr. Gayton
says:—
"That only one amongst tho largo number of nurses and

The distribution of Dr. Webb's cases shows this very well. His return is:—

1877.Vaccinations.Re-vaccinations.
First Quarter115440
Second ,,9368
Third „1029
Fourth „1081
418518