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

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City of Westminster 1922

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

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30
Encephalitis lethargica.—Two cases occurred, both females aged 9
and 27. The latter died, the former recovered, but has since seemed
mentally dull.
Measles.—Every second year measles assumes epidemic form. In
1921 only 26 cases were known, in 1922 591 cases were noted. The
bulk of these occurred in the second quarter of the year. Of these 33
were admitted to hospital. Eleven deaths resulted, 1 in Grosvenor
"Ward, 3 in Victoria, 1 in St. Margaret, 5 in St. John, and 1 homeless, in
the Infirmary. Ten of these were under 5 years of age, the most
dangerous period.
There were also 11 cases of Rubella (rose rash or German measles),
mostly in children.
Diarrhwa and Enteritis.—Twelve deaths are recorded under this
heading, which includes a variety of illness in which diarrhoea is a prominent
or final symptom. Infective or summer diarrhoea which produces
an acute illness was practically absent, chiefly on account of weather
conditions. Eight of the deaths were of children under 1 year, 3 of
elderly people, and one between 25 and 45 years.
Chickenpox was prevalent in the second quarter of the year, 178 cases
being notified from schools.
Mumps.—Only 25 cases were recorded compared with 278 in 1921.
Puerperal Fever and Ophthalmia Neonatorum.—See ante under
maternity and child welfare.
Plague.—Intimation was received of one person coming into Westminster
from a place where plague had occurred.
Anthrax.—One case occurred, having been infected while at work in
another borough.

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

Health Visitors.Nurses.
Puerperal fever5-
Ophthalmia neonatorum and conjunctivitis114719
Measles90090
Diarrhoea-14
Pneumonia-671
Whooping cough1202
Chickenpox-4
Influenza-42
Other complaints-1,257
1,1392,799