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

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Holborn 1913

[Report of the Medical Officer of Health for Holborn, Metropolitan Borough]

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20
Errors in Diagnosis.
Four of the patients were returned from the Hospitals of the Metropolitan
Asylums Board as not suffering from diphtheria, or 6.8 per cent. of the cases
notified.
Secondary Cases.
Excluding the above 4 cases and the 4 nurses at Hospitals, of the remaining
51 cases 44 occurred in houses in which there was no secondary case. In one
house 3 cases occurred and in 2 houses 2 cases each.
Return Cases.
There was no "return" case during the year.
Diphtheria Anti-toxin.
Diphtheria Anti-toxin was supplied free of charge in 6 cases
ENTERIC FEVER.
Excluding duplicates there were 7 notifications in comparison with 12 in
the preceding year. 1 belonged to St. Giles and Bloomsbury District and 6 to
the Holborn District. All were removed to Hospital. These notifications
corresponded to a rate of 0.15 per 1,000 in comparison with 0.17 for London.
Errors in Diagnosis.
Three cases were returned from the Hospitals of the Metropolitan Asylums
Board not suffering from enteric fever, or 42.8 per cent. of the cases notified.
Of the remaining 4 cases one was probably not contracted in the Borough.
One was a nurse who had been previously nursing enteric fever patients. In the
remaining two the patients had been in the habit of frequently eating mussels,
and, in one case, oysters also.
CEREBRO-SPINAL FEVER.
(Epidemic Cerebro-Spinal Meningitis.)
No case was notified during the year. 93 cases were notified in London.
POLIO-MYELITIS AND ENCEPHALITIS.
Two notifications were received during the year. There were 147 notifications
in London. One patient was removed to the National Hospital and the other
to the Hospital for Sick Children. In each case the diagnosis was confirmed and
the children both survived.