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

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City of Westminster 1915

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

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Diarrhea.—In Westminster, the total deaths were 37, 30 being under 2 years of age. Comparison with former years is made below:—

Westminster.1911.1912.1913.1914.1915.
Epidemic diarrhoea47920118
Other forms of enteritis4728292429
Total deaths7437493537
Number under 1 year of age4927332427
Number of births2,3612,3492,2332,1571,979
Deaths of infants per 1,000 births20.711.414.711.113.6
Number of deaths under 2 years of age—30402930

Cold and dampness, improper feeding, want of proper care, defective
power of digestion, syphilis and tuberculosis account for many of the
cases in which diarrhoea was merely one of the accompaniments of the
illness.
Measles.—The number of cases notified was 568, mostly by school
teachers. There were 39 deaths; with 3 exceptions these occurred in
children under 5 years of age.
The schools affected are shown below.
Owing to the great increase in the number of scarlet fever patients
the Asylums Board had to give up the hospital treatment of measles
and whooping-cough for a time.
Three hundred and seventy-five visits were paid by the health
visitors to families in which cases were notified: advice is given verbally
and printed instructions are left at the house. Wherever necessary,
the visitors visit throughout the illness, see that medical and nursing
attendance is obtained, and that proper attention is given to the cleanliness
of the rooms, bedding, &c.
Whooping-Cough.— Information was received of 84 cases (for
particulars as to schools see list below). There were 10 deaths in
the City (all of children under five years of age).
Children suffering from whooping-cough are also visited by the
health visitors: 41 visits were paid to families affected.
Schools and Infectious Disease.
School teachers are required to notify the Medical Officer of Health
when they exclude children on account of infectious disease. The