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

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City of Westminster 1920

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

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27
hot months of the year; 23 of the deaths were of children under 2 years
of age; the other 4 persons over 45.
Puerperal Fever.—10 cases were notified and 2 deaths occurred.
One of the cases was probably scarlet fever.
Influenza.—This complaint was certified as the cause of 41 deaths—
19 males and 22 females, all in adults. Serum for preventive inoculation
was provided by the Ministry and 42 bottles (sufficient to treat G72
persons) were supplied free to medical men in Westminster. The results
obtained were regarded as satisfactory by some, but not by others.
Cerebrospinal Fever.—Four cases occurred, 1 male and 3 females;
two of the cases died in the Infirmary.
Encephalitis Lelhargica.—Three cases occurred, one male (age 54)
and two females (12| and 40 years). No deaths were recorded.
Whooping Cough.—62 cases came to the knowledge of the Department,
3 deaths occurred, all of children under 2 years of age.

Visits were paid by Health Visitors and Nurses as follows:—

Health Visitors.Nurses.
Puerperal fever18
Ophthalmia neonatorum197421
Measles718474
Influenza_69
Pneumonia386
Whooping cough125137
Bronchitis_421
Epidemic diarrhœa10
Other complaints99
1,0582,017

The total number of cases attended by nurses was 159.
Ophthalmia Neonatorum.—28 cases were notified, but 16 others in
which the eyes were more or less affected came to the knowledge of the
Department through the Health Visitors. In three cases, the affection
seemed to have appeared after the midwife had ceased attendance, in one
bad case a mcdical man went away on holiday just after seeing the patient
and did not notify. He was severely censured by the Public Health
Committee. Applications were made by the mother to the Health Centre,
and the child was immediately removed to hospital, and this was the