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

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Wandsworth 1892

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

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1ll
Diphtheria caused 14 deaths, 5 in the hospitals, and
9 at home, as compared with 2 last year. In the preceding
three years the deaths were 23, 3 and 6. The
number of cases notified was 56, so that the case
mortality was 25 per cent., showing what a fatal and
dangerous disease this is. The number removed to hospital
was 24, so that the case mortality there was 20.8, and in
the 32 who were treated at home it was 28.1 per cent.
This would seem to show that hospital treatment is of
advantage in Diphtheria.
Membranous Croup was responsible for 2 deaths, out
of a total of 4 cases notified. These were probably
cases of Diphtheria. As regards causation of these cases
the drains in the houses where they occurred were carefully
tested, and in 24 of these, serious defects, such as very
possibly caused the attacks, were found and remedied.
Enteric Fever.—To this cause were attributed 7
deaths, of which 1 occurred in hospital and 6 at home.
The number of cases reported was 22. Last year the
number of eases reported was 20, and the deaths were 4.
There were also 3 cases of continued fever reported, with
1 death. Especial care was given to examining the drains
in the houses where these cases occurred, and all the defects
found were remedied.
Puerperal Fever.—The number notified was 5, and there
was one death. Besides disinfection in these cases, the
midwives who were attending the patients were prevented
from attending other women for 6 weeks.
Erysipelas. —Three deaths were referred to this disease,
and 79 cases notified, the majority of which were
apparently of a trivial character.
Measles caused 21 deaths, a number less than the