Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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Table showing the occurrence of groups of cases of typhoid fever in London boroughs during the years 1891-1922.
Year. | Four week period. | Boroughs with more than 30 cases in any four week period. | Concurrent prevalences in other boroughs affecting the same or an adjacent period. | Notes on the prevalences in columns 3 and 4, with observations on other special features in the year in question. |
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1891 | 29-32 | Hackney 46 | Bethnal Green 22, Poplar 24, St. Pan. 27, Step. 31, Holb. 19 | Groups early in year in Holb. 21 (5 cases in a hospital), Fins. 18. Group of 32 cases in Hack. St. Pan. 9 cases in a house. |
41-44 | Greenwich 272,Bermondsey 58, Islington 35, Stepney 36 | St. Pan. 47, Hack. 26, Holb. 17, Beth. Gr. 24, Camb. 16, Pop. 26, Westmr. 18 | Doubtless a food outbreak (see Public Health, Dec., 1921, p. 61). In St. Pan. 34 cases in "Foundling" and 6 in Univ. Coll. Hosp. In Holb. 10 cases in one house. G'wch outbreak attributed at time to ice cream. | |
1892 | 25-28 | - | - | Grouping of cases in Islington and Hackney. |
37-40 | Islington 41, Greenwich 33 | St. Pancras 25, Hackney 26, Poplar 24, Stepney 30 | The Islington cases were grouped in Upper Holloway and Copenhagen St. Grouping also marked in Pop. and on border of City and Stepney. 3 cases occurred in Lambeth Infirmary, 28 in a school in Greenwich in which cases occurred earlier in year. | |
1893 | 1-4 | - | - | Grouping in Hack., 14 cases in home in Step. (2-12 wks,) grouping in Poplar (17-20 wks.). |
25-28 | Poplar, 63 | Stepney 47, St. Pancras 25, Islington 23, Hackney 37, Shoreditch 20 | The outbreak in Pop. affected a limited area with a fried fish shop at its centre. Simultaneously outbreaks with multiple cases (Warren St. and Mayville Gr.) in St. Pan. and Isl. Grouping in Step., Hack, and Shor. | |
37-40 | Hackney 50, Pop. 49, Step. 38 | Greenwich 17 | Grouping very marked again here. Some food (probably fish) again at fault. | |
41-44 | Islington 30 | Kensington 21 | Marked grouping of eases. | |
45-48 | Westmr. 31, Hack. 58,Step. 54, Pop. 41 | Kens. 23, St. Mary. 24, St. Pan. 24, G'wch. 23 | Marked grouping in Greenwich and Westminster. Area in Pop. already involved (see above) again affected. | |
49-52 | Islington 34 | St. Pan. 21, Beth. Gr.23, Batt. 21, G'wch. 21 | Marked grouping in all 5 boroughs. Multiple cases marked in Greenwich (Queen St. 4, Knott St. 3) | |
1894 | 5-8 | - | Greenwich 21; also 19 in weeks 9-12 | Greenwich had suffered badly in 1891; grouping of cases was marked also on a smaller scale in 1892-4. E. and S.E. London during the "90's " had special supplies of very cheap fish. |
13-16 | Lambeth 38 | Camberwell 12 | . These prevalences were ascribed at the time to milk, but evidence far from conclusive. | |
37-40 | St. Pan. 36, Step. 32, Isl. 35 | Pop. 27, Hack. 21, Greenwich 17 | Grouping. In Greenwich, streets near Roy. Hos. Sch. affected. | |
41-44 | Islington 43 | Hack. 24, Step. 27, Pop. 28, Lamb. 24 | Grouping marked in all these boroughs. | |
45-48 | Hackney 34, Poplar 35 | Westmr. 35, Step. 28, Wands. 38 | Tendency to grouping. | |
49-52 | Westminster 40, Islington 39, Stepney 31, Lambeth 43 | St. Marylebone 27, Hackney 27, Battersea 27 | Widespread prevalence particularly in weeks 49-51. Attributed at time to floods in Thames and Lea. The Lambeth area affected in weeks 13-16 and in subsequent weeks again. Doubtless a food outbreak. | |
1895 | 1-4 | - | Camberwell 26 | Probably related to above prevalence. A series of 11 cases in a Marylebone nursing home commenced here (weeks 1-4). |
21-24 | Woolwich 136 | - | Outbreak attributed at time to milk, but this hypothesis did not fully explain distribution of the cases most of which were in two streets in Plumstead; a small outlying group in Woolwich proper (Public Health Dec., 1921, p. 63). | |
33-36 | Camberwell 38 | Step. 22, Pop. 21, Hack. 20 | Camberwell group near Dulwich. Hackney group in Hack. Wick. | |
37-40 | Poplar 37, Camberwell 38 | Hack. 49, St. Pan. 22, Lamb. 24, S'wark. 22, G'wch. 28 | Camberwell group near Dulwich. Hackney group in Hack. Wick. | |
45-48 | Hackney 54, Islington 37 | St. Pan. 23, Step. 20, Pop. 21, Lamb. 24, G'wch. 30, Camb. 27 | Grouping in U. Holloway, Islington and Lambeth Walk. | |
1896 | 33-36 | Stepney 32 | Hack. 26, Camb. 22 | St. George's W'se, S'wark, 6 cases in year. Marylebone nursing home mentioned above 5 cases. |
37-40 | St. Pancras 38, Islington 49 | Beth. Gr. 23, Pop. 23, Shor. 23, G'wch 18 | Well marked grouping here. Queen's Cres., St. Pan. and Copenhagen St. Isl. A cluster of cases in Shor. attributed at time to defective water main, but groups of streets involved later showed evidence of fish infection. Grouping off Wandsworth Rd., Lambeth, these streets later involved in a fish outbreak. | |
41-44 | Hackney 32 | Westmr. 17, Lamb. 18, Step. 24 | ||
45-48 | - | Isl. 19, Hackney 19, Poplar 22, Lambeth 22, Holborn 22 | ||
1897 | 33-36 | - | - | St. Pan. 21, Isl. 26, Hack. 28, Step. 26, S'wark. 21, G'wch. 18. Grouping especially in Queen's Cres., St. Pancras. |
37-40 | - | - | Kens. 21, Isl. 30, Pop. 24, Camb. 22, G'wch. 17. Grouping in N. Kens. | |
41-44 | St. Pan. 50, Isl. 41, Hack. 48, Step. 37, Pop. 48, Camb. 37 | Kens. 21, Westmr. 22, Lamb. 26, Bethnal Green 22, Battersea 18 | 23 cases in Univ. C. Hos. attributed to contaminated water. 5 cases in Roy. Free H. These and other groups in boroughs named are, however, very suggestive of food infection. 12 cases during the year at Isl. Infy. and St. Mary's Guardians Sch. (see later). | |
1898 | 29-32 | - | - | Isl. 21. Also a group of children attacked in Hack. (See Ann. Rep.,Lond., p. 37.) |
37-40 | Greenwich 33 | - | Grouping in G'wch.; Dalston, Hack.; Queen's Cres., St. Pan.; Beth Gr., Pop., Step., S'wark, N. Lamb, and Westmr. 2 cases in St. Mary's G. Sch. mentioned above, and cases in surrounding area. This was probably a fish prevalence. | |
41-44 | Isl. 42, Hack. 47, Step. 35, Pop. 32 | St. Pancras 37, S'wark 26 | ||
45-48 | St. Pan. 38, Lambeth 33 | Kens. 20, St. Mary. 22, Holb.24, Westmr. 20, Wands. 25, Camb. 24 | ||
1899 | 5-8 | City 39 | Poplar 21, Greenwich 18 | 54 cases at a City establishment in weeks 1—12. A food outbreak. |
29-32 | Islington 44 | Step. 38, Fins. 16 | Grouping especially in U. Holloway around St. Mary's G. Sch. in which 59 cases occurred during the year. | |
41-44 | Hamm. 34, Isl. 57, Hack. 51, Beth. Gr. 53, Step. 128, Berm. 48, Lamb. 43, Batt. 37 | Shor. 31, S'wark 27 | Grouping in Hack. Wick., Horn, and Dalston (Hackney). 7 cases in H.M. Prison, Hamm. (33-44 wks). Grouping in Nile St. (Shor.), Beth. Gr. and Stepney, also Hamm. and other N.W. boroughs. In Millwall (Poplar), Wandsworth Rd. and Clapham Rd. (Lamb.), Batt., G'wch. and Berm. | |
45-48 | Pop. 63, St. Pan. 55, Shor. 31 | - |
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