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

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Marylebone 1923

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

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51
The highest number of cases reported in any one week was 19.
The total deaths from scarlet fever numbered 3, and the number of deaths per
cent. of the cases was 2.4.
The districts to suffer most from this disease were Christ Church and St. John.
In the former there were 39 cases and in the latter 33. In All Souls there were
26 and in St. Mary 28.
As usual the majority of patients were children of school age, the age group,
5-15, giving nearly two-thirds (60) of the total. Of the remainder 26 were aged
between 1 and 5 years.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 4 instances that a definite connection could be
made out.
Defects in sanitation to the number of 27 were discovered in the premises visited.
All these were want of cleanliness, etc. The nuisances were remedied after the
service of notices in each case.
Enteric and Paratyphoid Fever.
The Enteric Fever notifications received numbered 11. There were no deaths.
Of Paratyphoid Fever there were 5 cases. All the patients recovered.
Cerebro-Spinal Fever.
There were no cases of this disease during the year.
Encephalitis Lethargica.
There were no cases of this disease during the year.
Polio-Myelitis.
Three cases were notified, one girl, aged 10 months, and 2 boys, aged 4 and 5
respectively. The girl and the boy aged 5 years are still under medical treatment,
both being unable to walk. The boy aged 4 is progressing favourably.
Erysipelas.
The notifications of erysipelas numbered 47, and there was 1 death.
Puerperal Fever.
The number of cases of this disease notified, viz., 1, was rather under the
average; the patient, however, died.
Measles and German Measles.
These conditions are not now notifiable. 215 cases were however reported,
41 voluntarily by doctors and parents and 174 by school-teachers.
There were no deaths. The course adopted in relation to the cases was the
same as in previous years.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from the
death returns, and during 1923 the number of deaths registered as due to whooping
cough was 16. In 1922 the number was 14.
Nurses were sent in to 3 cases, and 36 visits were paid.
Glanders and Anthrax.
No cases were notified.