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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The notification rate (proportion to population of notified cases of infectious
diseases) in 1914 was 11.5 per 1,000 as against 11.6 in 1913.
Isolation of Cases. The following table shows, with regard to each disease,
the percentages of the totals and the actual number of cases removed to hospital
during the year:
Diphtheria 228 or 99.6 per cent. of the cases notified.
Erysipelas 30 „ 46.1 ,, „ „
Scarlet Fever 412 „ 95.3 ,, „ „
Enteric Fever 33 ,, 91.7 ,, „ ,,
Cerebro-spinal Meningitis 1 ,, 100.0 „ ,, ,,
Ophthalmia Neonatorum 18 „ 72.0 „ „ „
Puerperal Fever 6 „ 66.0 ,, „ ,,
Polio Myelitis — ,, — „ ,, „
Phthisis 91 ,, 18.1 ,, „ ,,
The cost of carrying out the requirements of the Public Health (London) Act,
1891, and the various regulations with regard to notification was £137 9s. 9d., equal
to £1 4s. 4d. per 1,000 of the population.
The cost and rate per 1,000 for each of the past 10 years, are shown in the following table:—
Year. | Amounts paid to Medical Practitioners. | Cost per 1,000 of Population. | ||||
---|---|---|---|---|---|---|
1905 | 61 | 5 | 6 | 0 | 9 | 6 |
1906 | 74 | 14 | 0 | 0 | 11 | 8 |
1907 | . 74 | 0 | 0 | 0 | 11 | 7 |
1908 | 70 | 6 | 6 | 0 | 11 | 1 |
1909 | 73 | 5 | 6 | 0 | 11 | 7 |
1910 | 74 | 1 | 0 | 0 | 11 | 10 |
1911 | 124 | 3 | 9 | 1 | 14 | 10 |
1912 | 116 | 11 | 9 | 1 | 0 | 1 |
1913 | 124 | 3 | 9 | 1 | 1 | 8 |
1914 | 137 | 9 | 9 | 1 | 4 | 4 |
Discharge Notices.
The number of certificates received from the Metropolitan Asylums Board
regarding the return of patients sent to hospital with infectious diseases was 439
and referred to 585 cases. Visits were paid to these cases by the District Inspectors,
and advice given as to 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 far more prevalent in 1914 than in 1913—229 cases as against 132
in the previous year. Of the cases 17 died, and the case mortality rate was 7.4 as
compared with 4.5 per cent., the rate for 1913.
The number of cases per 1,000 of the population was 2.01.