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

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London County Council 1922

[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.
189129-32Hackney 46Bethnal Green 22, Poplar 24, St. Pan. 27, Step. 31, Holb. 19Groups 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.
41-44Greenwich 272,Bermondsey 58, Islington 35, Stepney 36St. Pan. 47, Hack. 26, Holb. 17, Beth. Gr. 24, Camb. 16, Pop. 26, Westmr. 18Doubtless 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.
189225-28--Grouping of cases in Islington and Hackney.
37-40Islington 41, Greenwich 33St. Pancras 25, Hackney 26, Poplar 24, Stepney 30The 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.
18931-4--Grouping in Hack., 14 cases in home in Step. (2-12 wks,) grouping in Poplar (17-20 wks.).
25-28Poplar, 63Stepney 47, St. Pancras 25, Islington 23, Hackney 37, Shoreditch 20The 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.
37-40Hackney 50, Pop. 49, Step. 38Greenwich 17Grouping very marked again here. Some food (probably fish) again at fault.
41-44Islington 30Kensington 21Marked grouping of eases.
45-48Westmr. 31, Hack. 58,Step. 54, Pop. 41Kens. 23, St. Mary. 24, St. Pan. 24, G'wch. 23Marked grouping in Greenwich and Westminster. Area in Pop. already involved (see above) again affected.
49-52Islington 34St. Pan. 21, Beth. Gr.23, Batt. 21, G'wch. 21Marked grouping in all 5 boroughs. Multiple cases marked in Greenwich (Queen St. 4, Knott St. 3)
18945-8-Greenwich 21; also 19 in weeks 9-12Greenwich 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.
13-16Lambeth 38Camberwell 12. These prevalences were ascribed at the time to milk, but evidence far from conclusive.
37-40St. Pan. 36, Step. 32, Isl. 35Pop. 27, Hack. 21, Greenwich 17Grouping. In Greenwich, streets near Roy. Hos. Sch. affected.
41-44Islington 43Hack. 24, Step. 27, Pop. 28, Lamb. 24Grouping marked in all these boroughs.
45-48Hackney 34, Poplar 35Westmr. 35, Step. 28, Wands. 38Tendency to grouping.
49-52Westminster 40, Islington 39, Stepney 31, Lambeth 43St. Marylebone 27, Hackney 27, Battersea 27Widespread 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.
18951-4-Camberwell 26Probably related to above prevalence. A series of 11 cases in a Marylebone nursing home commenced here (weeks 1-4).
21-24Woolwich 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).
33-36Camberwell 38Step. 22, Pop. 21, Hack. 20Camberwell group near Dulwich. Hackney group in Hack. Wick.
37-40Poplar 37, Camberwell 38Hack. 49, St. Pan. 22, Lamb. 24, S'wark. 22, G'wch. 28Camberwell group near Dulwich. Hackney group in Hack. Wick.
45-48Hackney 54, Islington 37St. Pan. 23, Step. 20, Pop. 21, Lamb. 24, G'wch. 30, Camb. 27Grouping in U. Holloway, Islington and Lambeth Walk.
189633-36Stepney 32Hack. 26, Camb. 22St. George's W'se, S'wark, 6 cases in year. Marylebone nursing home mentioned above 5 cases.
37-40St. Pancras 38, Islington 49Beth. Gr. 23, Pop. 23, Shor. 23, G'wch 18Well 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.
41-44Hackney 32Westmr. 17, Lamb. 18, Step. 24
45-48-Isl. 19, Hackney 19, Poplar 22, Lambeth 22, Holborn 22
189733-36--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.
41-44St. Pan. 50, Isl. 41, Hack. 48, Step. 37, Pop. 48, Camb. 37Kens. 21, Westmr. 22, Lamb. 26, Bethnal Green 22, Battersea 1823 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).
189829-32--Isl. 21. Also a group of children attacked in Hack. (See Ann. Rep.,Lond., p. 37.)
37-40Greenwich 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.
41-44Isl. 42, Hack. 47, Step. 35, Pop. 32St. Pancras 37, S'wark 26
45-48St. Pan. 38, Lambeth 33Kens. 20, St. Mary. 22, Holb.24, Westmr. 20, Wands. 25, Camb. 24
18995-8City 39Poplar 21, Greenwich 1854 cases at a City establishment in weeks 1—12. A food outbreak.
29-32Islington 44Step. 38, Fins. 16Grouping especially in U. Holloway around St. Mary's G. Sch. in which 59 cases occurred during the year.
41-44Hamm. 34, Isl. 57, Hack. 51, Beth. Gr. 53, Step. 128, Berm. 48, Lamb. 43, Batt. 37Shor. 31, S'wark 27Grouping 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.
45-48Pop. 63, St. Pan. 55, Shor. 31-

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