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

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Marylebone 1924

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

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40
The districts to suffer most from this disease were Christ Church and All
Souls. In the former there were 90 cases and in the latter 37. In St. Mary
there were 32 and in St. John 26.
As usual, the majority of patients were children of school age, the age group,
5-15, giving 84 of the total. Of the remainder 63 were aged between 1 and 5
years, and 38 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 5 instances that a definite connection could be
made out.
Defects in sanitation to the number of 46 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 7. There were 2 deaths.
Of Paratyphoid Fever there were 10 cases. All the patients recovered.
Cerebro-Spinal Fever.
There was one case of this disease notified during the year.
Encephalitis Lethargica.
There were 18 cases of this disease notified, 13 prior to the middle of the
year.
For the reason that the disease frequently runs a slow and long course and
the sequels are often of a serious and distressing nature, arrangements were made
for following up and keeping the patients under observation.

The following table contains information as to result in each case:—

NameAgeSexDate NotifiedSubsequent progress, i.e., whether recovery complete or partial
1 H. T.8M7th AprilPartial recovery.
2 J. G.12M10th AprilRecovered. Slow progress of knee. Neuritis.
3 M. W.21F9th AprilRecovered.
4 J. F.43M14th AprilPartial recovery.
5 A. G.13M22nd AprilStill suffering at home.
6 D. W.24F26th AprilComplete recovery.
7 G. W.7F30th AprilPeriodical spells of sleepi- ness.
8 R. M.23M6th MayCured 20/5/24.
9 F. M.32M28th MayUnable to obtain particulars.
10 S. W.10M6th JuneIn West Park Mental Hospital, Epsom.
11 J. B.50M4th JuneRecovered.
12 D. A.24F18th JuneUnable to obtain particulars. Non-resident.
13 E. G.38F20th JuneCured after 4 weeks treatment.
14 F. F.38F15th JulyRemoved from District.
15 E. W.17F30th JulyStill in hospital.
16 K. H.17F10th Sept.Recovered.
17 M. S.41F30th Sept.Recovered. Slight recurrence.
18 E. B.24F11th Dec.Still in hospital.