London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Marylebone 1927
[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]
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| Diphtheria | 158 or 99.0 per cent. of the cases notified. |
| Erysipelas | 23 „ 64.0 „ „ „ |
| Scarlet Fever | 170 „ 95.5 „ „ „ |
| Enteric and Paratyphoid Fever | 16 „ 94.1 „ „ „ |
| Encephalitis Lethargica | 2 „ 66.6 „ „ „ |
| Tuberculosis | 81 „ 42.6 „ „ „ |
| Pneumonia | 6 „ 15.4 „ „ „ |
| Puerperal Fever | 1 „ 100.0 „ „ „ |
| Puerperal Pyrexia | 31 „ 88.6 „ „ „ |
The cost of carrying out the requirements of the Public Health (London) Act,
1891, and the various regulations with regard to notification was £51 14s. 0d.,
equal to 10s. 0d. per 1,000 of the population.
| Year | Amounts paid to Medical Practitioners | Cost per 1,000 of Population | ||||
|---|---|---|---|---|---|---|
| £ | ||||||
Discharge Notices.—The number of certificates received from the Metropolitan
Asylums Board regarding the return of patients sent to hospital with
infectious diseases was 323, and referred to 401 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.
The number of cases notified was 160, the number in 1926 being 193. Of
the cases 12 died, and the case mortality rate was 7.5 per cent.
The number of cases per thousand of the population was 1.5.
The cases were more or less evenly distributed, as usual, throughout the
borough, and only in a few instances was it possible to determine accurately the
source of infection. In 10 cases the source appeared to be a member of the family
previously infected; in 5 cases infection was counted to have been acquired in
school, and in 9 cases in an institution.
The number of swabs from doubtful cases submitted for bacteriological
examination was 1,710. A positive result was returned in 50 instances.
Of the registration districts, that contributing the largest number of cases,
naturally, since in respect of child population it is the largest, was Christ Church,
with 76. In All Souls the number was 14, in St. Mary 46, and in St. John 24.
As usual, the age groups 1—5 and 5—15 were those most affected, 56 of the
cases falling into the former and 73 into the latter group.