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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Isolation of Cases. As generally occurs a very large percentage of the cases
notified were isolated in hospital. The cost of carrying out the requirements with
regard to notification was £116 12s. 6d., equal to £1 3s. 3d. per 1,000 of the
population. The figure in 1914 was £l 4s. 4d., and in 1906, 11s. 8d.
Discharge Notices. The number of notices received from the Metropolitan
Asylums Board regarding the return of patients sent to hospital with infectious
diseases was 332 and referred to 439 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 less prevalent in 1915 than in 1914—138 cases as against 229
in the previous year. Of the cases 7 died, and the case mortality rate was 5 as
compared with 7'4 per cent., the rate for 1914.
The number of cases per 1,000 of the population was 1.3.
The number of swabs from doubtful cases submitted for bacteriological
examination was 262.
A positive result was returned in 41 instances.
Of the registration districts, that contributing the largest number of cases was
Christ Church, with 56 ; All Souls giving 31, St. Mary 30, and St. John, 16.
As usual the age groups 1-5 and 5-15 were those most affected, 53 of the cases
falling into the former and 45 into the latter group.
One application was received for a free supply of antitoxin under the Diphtheria
Antitoxin (London) Order, 1910.
Scarlet Fever.
The notifications of this disease numbered 308, and the total deaths 10. The
number of deaths per cent. of the cases was 3'2.
The highest number reported in any one week was 27.
As usual, the majority of the patients were children of school age; the age
group, 5-15, giving more than half (158) of the total. Of the remainder 77 were
aged between 1 and 5 years.
Enteric Fever.
The number of cases of enteric fever notified in 1915 was 11, and there were
2 deaths (18.1 per cent. of the cases). The death rate per 1,000 of the population