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

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City of Westminster 1909

[Report of the Medical Officer of Health for Westminster, City of]

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62
Disinfection of 108 rooms in 50 houses, and of 678 articles, was
carried out by the Council's staff.
Visits were paid by the lady inspectors in cases notified from
schools.
Sudden and extensive outbreaks of measles occurred at St. Michael's
Ebury Street, and St. Peter's, Lower Belgrave Street, Schools, in the
infant departments, necessitating closure in the former. On visiting at
the homes, it was found that 24 children supposed to have measles were
absent from colds only, but there were 50 cases of measles, and, in
addition, 5 were found to be suffering from chickenpox and 12 from
mumps. There were at the same time 49 cases in children attending
St. Peter's and 29 at Horseferry Road Schools.
Whooping Cough.—This complaint was responsible for 23 deaths,
all of them of children under five years of age; 228 cases were
notified to me, all from schools (for particulars as to schools affected see
list below). Disinfection was carried out in 3 rooms.

The death-rates per 1,000 persons in each of the four quarters were:—

1st Quarter.2nd Quarter.3rd Quarter.4th Quarter.
Westminster0.250.160.110.09
London0.300.340.180.19

Particulars relative to this disease for the years 1903-9 are:—

1903.1904.1905.1906.1907.1908.1909.
W estminster—
Cases notified83562109225162228
Deaths33173523271023
Deaths per 1,000 population0.180.090.190.130.150.050.13
London0.350.330.320.260.380.200.25

The five-yearly average death-rate being 0.30 for London, 0.12 for
Westminster. All the children who died were under five years of age.

Calculated on the number of children at that age, the death-rates per 1,000 were:—

Westminster2.631.372.81.62.20.81.9
London ..3.222.92.92.33.41.82.3

Leaflets giving instructions with reference to the care necessary to
be taken in cases of measles and whooping cough are freely distributed
to parents. Attention is also called to the danger of exposing
children to infection, but apparently without much result.