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 St. Marylebone, Metropolitan Borough]
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10
Primary
Vaccinations.
St. Marylebone Workhouse 96
St. Marylebone Infirmary 52
St. Marylebone Schools 21
Queen Charlotte's Hospital 674
Others 3,133
3,976
Re-vaccinations.
St. Marylebone Workhouse Schools and Infirmary 881
Queen Charlotte's Hospital 167
By Public Vaccinator 10,514
11,562
To the 11,562 re-vaccinations must be added the revaccinations
performed by private practitioners who are not
compelled by law to make any return. There are, however,
grounds for estimating within the same period the re-vaccinations
by private practitioners as not less than 4,000. This
brings the total primary vaccinations and the re-vaccinations
up to 19,538 or 14.7 per cent. of the total population.
Preventive Measures.—The measures taken to combat
the epidemic in the Borough were the vaccinations and revaccinations
as above; prompt removal to Hospital,
irrespective of class or social position; the keeping under
observation of contact cases until the incubation period
had expired; continuous duty on the part of the sanitary
officers from 9 a.m. until midnight; and very thorough
disinfection; besides which, referees with special experience
of smallpox were appointed to confer with medical practitioners
in cases of doubtful character, and since experience
had proved that the most frequent error took place with
regard to chicken and smallpox, chickenpox was made a
notifiable disease.
SCARLET FEVER.
The course of scarlet fever throughout the year is
graphically delineated in the curve opposite page 18. There
were 335 cases notified, 14 of which terminated fatally. This
gives the low case mortality of a fraction over 4 per cent.
Scarlet fever was about the average or a little below up to
the last week in June. It was then above the average up
to the second week of November, when it declined. Although
more prevalent than usual in the months mentioned, yet the
excess was not sufficiently marked to warrant the term
"epidemic."