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

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Marylebone 1911

[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]

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The cost and rate per 1,000 for each year since 1901 are shown in the following Table :-

Year.Amounts paid to Medical Practitioners.Cost per 1,000 of Population.
£s.d.£s.d.
1901985601410
190215250130
1903851160130
190499100152
19056156096
1906741400118
190774000117
190870660111
190973560117
1910741001110
19111243911410

Discharge Notices.
The number of certificates received from the Metropolitan Asylums Board
regarding the return of patients sent to hospital with infectious diseases was 269 and
referred to 459 cases. Visits were paid to these cases by the District Inspectors, and
advice given as to the date of the return of children to school, and the advisability of
obtaining treatment for and isolation of any suffering from any sequel of a disease.
Diphtheria and Membranous Croup.
Diphtheria was very little more prevalent in 1911 than in 1910, 133 as against
128 cases in the latter year having been notified.
Of the 133, 7 proved fatal, the case mortality rate being 5.2 per cent.
The number of cases per 1,000 of the population was 1.19.
The number of swabs from doubtful cases submitted for bacteriological
examination was 143. A positive result was returned in 32 instances. The greatest
number of cases came from All Souls District, viz., 46, the others contributing as
follows :—Christ Church 36, St. Mary 31, and St. John 10.
As regards age in connection with prevalence of the disease, 52 of those affected
were aged 1-5 years, and 42, 5-15.
Though it is practically certain that all those who were affected were treated with
antitoxin—the 91 per cent. who went to hospital certainly were—as was expected, in
no one instance was advantage taken of the arrangements made for the free supply of
the remedy, under the Diphtheria Antitoxin (London) Order, 1910.

In investigating the notified cases, the following nuisances were detected and dealt with by the Inspectors:—

Dirty Premises, etc.38
Defective Drainage14