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 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:—
Name | Age | Sex | Date Notified | Subsequent progress, i.e., whether recovery complete or partial |
---|---|---|---|---|
1 H. T. | 8 | M | 7th April | Partial recovery. |
2 J. G. | 12 | M | 10th April | Recovered. Slow progress of knee. Neuritis. |
3 M. W. | 21 | F | 9th April | Recovered. |
4 J. F. | 43 | M | 14th April | Partial recovery. |
5 A. G. | 13 | M | 22nd April | Still suffering at home. |
6 D. W. | 24 | F | 26th April | Complete recovery. |
7 G. W. | 7 | F | 30th April | Periodical spells of sleepi- ness. |
8 R. M. | 23 | M | 6th May | Cured 20/5/24. |
9 F. M. | 32 | M | 28th May | Unable to obtain particulars. |
10 S. W. | 10 | M | 6th June | In West Park Mental Hospital, Epsom. |
11 J. B. | 50 | M | 4th June | Recovered. |
12 D. A. | 24 | F | 18th June | Unable to obtain particulars. Non-resident. |
13 E. G. | 38 | F | 20th June | Cured after 4 weeks treatment. |
14 F. F. | 38 | F | 15th July | Removed from District. |
15 E. W. | 17 | F | 30th July | Still in hospital. |
16 K. H. | 17 | F | 10th Sept. | Recovered. |
17 M. S. | 41 | F | 30th Sept. | Recovered. Slight recurrence. |
18 E. B. | 24 | F | 11th Dec. | Still in hospital. |