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

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Wandsworth 1885

[Report of the Medical Officer of Health for Wandsworth District, The Board of Works (Clapham, Putney, Streatham, Tooting & Wandsworth)]

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34
nursing, is most difficult to suppress; as the infectious
stage occupies a considerable proportion of the 14 days'
incubation which is found to exist in this disease, and
this before any rash appears upon the skin. The large
number of 49 deaths was rocorded and represents an
enormously greater number of children attacked.
Whooping-Cough was prevalent, and fatal in 47 cases,
frequently in combination with, or following Measles.
Scarlet Fever was conspicuous by its absence, but one
fatal case being registered. There are, however, indications
of an approaching epidemic.
Diarrhoea was fatal in 63 cases, about the usual proportion,
and in nearly every case in hand-fed children,
clearly indicating the source of the malady.
Fevers.—Typhus is credited with one death during the
year. Sporadic cases of this disease undoubtedly crop
up from time to time, although some authorities consider
them all to be really abnormal cases of Typhoid or
Enteric Fever. The latter disease caused death in five
instances, very much fewer than in the year 1884, and
shewing in conjunction with the small number of deaths
from other diseases of the same class, the very excellent
sanitation of the sub-district. Three other cases of
Typhoid died in hospital.
Diphtheria.—This disease like the last mentioned
depends upon the sanitary condition of a district, more
especially of its sewers and water supply. But 8 deaths
were registered during the year, 7 others however took
place in the various hospitals.
other Zymotic These include 8 cases from Puerpural
Diseases. Fever and 5 from Erysipelas, together 13,
and are below the average in number.