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

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City of London 1911

[Report of the Medical Officer of Health for London, City of ]

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23
EXAMINATION FOR PATHOGENIC BACTERIA.
Any medical practitioner desiring examination of specimens for Pathogenic
Bacteria in cases of suspected infectious disease occurring amongst their patients
residing in the City, should forward them to me at the Guildhall. Arrangements have
been made for free examination, and the results obtained will be communicated as
speedily as possible.
During the year the following specimens were so dealt with. It will be seen that
positive results were obtained in 37 per cent, of these cases.
Result—
Specimen Disease suspected. Positive. Negative.
Two of Sputum - - Phthisis 1 1
Five of blood - - Enteric Fever 2 3
One throat swab - - Diphtheria — 1
NOTIFICATION OF CEREBRO SPINAL FEVER.
(Epidemic Cerebro-Spinal Meningitis.)
As a preventive measure against the spread of the above-mentioned disease, which
is still in evidence in London, the County Council have, in accordance with the
provisions of Section 56 of the Public Health (London) Act 1891, made an Order
requiring for a further period of twelve months as from and including the 13th March,
1911, the notification of cases of Cerebro-Spinal Fever (Epidemic Cerebro-Spinal
Meningitis) in the Administrative County of London.
On the advice of a Committee appointed by the President of the Royal College of
Physicians, it has been decided that for notification purposes the disease at present
known as Posterior Basal Meningitis shall be included in the terms " Cerebral-Spinal
Fever," which term shall not, however, be interpreted to include cases of Meningitis due
to Tuberculosis, Syphilis, Middle Ear disease or injury.
Cerebro-Spinal Fever was first made notifiable in London by order of the Local
Government Board for a period of six months as from 12th March, 1907, and has been
extended by renewed Orders from year to year, the provisions of notification being in
continual operation since 1907.
Only one case, a child aged 2½ years, has occurred in the City since the disease
was made notifiable.
NOTIFICATION OF CHICKEN-POX.
Owing to the increase in cases of Small-pox (referred to on page 24) and the
fact that failure to distinguish between Chicken-pox and Small-pox is likely to lead to
the spread of the latter disease, the London County Council, on the 16th March last,
made an Order, under Section 56 of the Public Health (London) Act, 1891, requiring
the notification of Chicken-pox for a period of three months only as from and including
the 22nd March, 1911.

In the following Tables will be found particulars of infectious disease notified under Sections 55 and 56 of the Public Health (London) Act, 1891, and information as to the removal of patients to hospitals, infirmaries, &c. :—

NATURE OP DISEASE.Number of Certificates received.Treated at Home.Removed to the Metropolitan Asylums Board Hospitals.Removed to the London Fever Hospital.Treated at other Hospitals and Infirmaries.Duplicate Certificates received.Diagnosis incorrect.
Small.pox...._
Diphtheria26193841
Scarlet Fever26.163331
Enteric „813.31
Puerperal „11
Erysipelas228l67
Cerebro.Spinal Meningitis..
Ophthalmia Neonatorum11
Totals841128721143
*Chicken.pox44
†Phthisis734
Totals9518281121143

The following is a Return of infectious disease notified, exclusive of Chicken.pox and Phthisis, occurring in the City of London, with the percentages of such cases removed for treatment to hospitals or nursed at home during 1911, compared with the figures for the previous five years :—

Year.Number of cases reported.Per cent, of cases reported.
Removed to Hospital.Treated at Home.
190614991.981
190714084.315.7
19089091.09.0
19096782117.9
19105479.620.4
Average for previous five years.10085.814.2
19116783.616.4