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 FOLLOWING TABLE AND SUMMARY GIVES DETAILS OF THE WORK OF THE CLINIC DURING THE YEAR 1928.
Children under 5. | Children over 5. | Adults | Total. | |
---|---|---|---|---|
Total number on books | 161 | 70 | 10 | 241 |
Inoculated without Schick Test | 160 | 40 | - | 200 |
Tested—Positive | - | 20 | 6 | 26 |
Negative | 1 | 10 | 3 | 14 |
Not reported | - | - | 1 | 1 |
Inoculated but not retested | - | 19 | 1 | 20 |
Inoculations incomplete | 18 | 4 | 4 | 26 |
Inoculations completed but not retested | 66 | - | - | 66 |
Retested—Positive | 1 | 3 | 1 | 5 |
Negative | 59 | 29 | - | 88 |
Not reported | - | 5 | - | 5 |
Receiving additional inoculations | 1 | 3 | 1 | 5 |
Retested—Positive | - | - | - | - |
Negative | 1 | - | - | 1 |
Not retested | - | 3 | 1 | 4 |
Completely immunized | 60 | 29 | - | 89 |
528 | 235 | 28 | 791 |
SUMMARY.
Total number on books 241
Number of children under 5 161
Number of children over 5 70
Number of adults 10
Number of Sessions 51
Total number of attendances 886
Average weekly attendance 17
Scarlet Fever.
Though the number of cases was higher than in 1927, 223 cases as against
178, there was no epidemic prevalence of this disease during the year.
The highest number of cases reported in any one week was 12.
The total deaths from scarlet fever numbered 2, and the number of deaths
per cent. of the cases was 0.88.
The districts to suffer most were Christ Church and All Souls. In the former
there were 92 cases and in the latter 52. In St. Mary there were 49 and in
St. John 30.
As usual the majority of patients were children of school age, the age group,
5—15, giving 126 of the total. Of the remainder 2 were under 1 year of age, 55
were aged between 1 and 5 years, and 40 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 27 instances that a definite connection could be
made out.
Defects in sanitation to the number of 24 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 Fever and Paratyphoid Fever.
The Enteric Fever notifications received numbered 23. There were 2 deaths.
Of Paratyphoid Fever there were 10 cases. In no case was it possible to trace
with any degree of accuracy the exact source of infection, which in a majority of
instances appeared to have been acquired outside the metropolis. All the patients
recovered.
Cerebro-Spinal Fever.
No cases of this disease were notified during the year.