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

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Hanover Square 1890

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

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14
Enteric (or Typhoid) Fever caused 18 deaths, or 13 more
than in 1888, and 3 more than the corrected average for
the previous 10 years. Of these 18 deaths, however, 6
were those of non-parishioners in St. George's Hospital;
another was a death from Enteritis, due to Tubercular
Consumption (not Enteric Fever at all), another that of a
man 77 years of age, whose death was certified as from
"Gastric Bilious Fever with acute Bronchitis," and another
was that of a case contracted in Scotland.
On the other hand one of our parishioners died of this
disease in a public institution outside the parish.
A limited outbreak of Enteric Fever occurred in the
parish almost entirely in the Mayfair Sub-district (and also
in some of the adjoining parishes) during the last week of
July, all the cases commencing on or about July 25th.
The outbreak was limited to houses of the better class,
including some of the largest houses in the parish. From
the uniformity in the date of the attacks, and from the fact
that the sanitary arrangements of most of the houses where
there were cases of this disease were in excellent condition,
I came to the conclusion that the outbreak was not due to
any defective sanitary arrangements, but to some temporary
cause, which ceased to operate as suddenly as it had shewn
itself. I made a most careful investigation with the object
of finding out the cause of this outbreak, the cases of which
were limited (as far as this parish was concerned), so far
as I was able to ascertain, to 18 houses, but which caused
quite a scare, owing to the social position of the inhabitants
of some of those houses. I naturally at once turned my
attention to the milk supply, but was not able to find any
connection with it. The Local Government Board was
applied to, and sent an Inspector to investigate the outbreak,
but beyond suggesting that some improvements might be