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

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Marylebone 1928

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

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35
Encephalitis Lethargica.
There were three cases of this disease notified. Two of the patients died.

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. D.F.C.34F.25-2-28Died 20-2-1928.
2. E.M.7F.1-8-28Died 12-8-1928. Tubercular Meningitis.
3. B.L.5M.10-9-28Recovered.

Polio-Myelitis.
No cases were notified.
Erysipelas.
The notifications of erysipelas numbered 67.
Puerperal Fever.
The number of cases of this disease notified was 3. In 1927 there was 1
case only.
Puerperal Pyrexia.
There were 32 cases notified as suffering from puerperal pyrexia during the
year; most of the notifications received came from institutions where, of course,
the precautions taken would naturally result in the detection of any signs indicating
the occurrence of pyrexia (fever) in the early stages of the lying-in period.
No application was made for the services of a consultant or any other of the
facilities the Council is empowered to provide under the Public Health (Puerperal
Fever and Puerperal Pyrexia) Regulations. The number notified in 1927 was 35.
Measles and German Measles.
Measles was more or less epidemic throughout the metropolis, and in this
the Borough shared to a considerable extent. Since the disease is not now
notifiable it is impossible to say exactly the number of cases that occurred, but no
fewer than 1,424 were reported by school teachers. The number reported in 1927
was 40.
There were 37 deaths. The course adopted in relation to the cases was the
same as in previous years. Nurses were sent in to 26 cases, and 446 visits were
paid.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from
the death returns, and during 1928 the number of deaths registered as due to
whooping cough was 10, one less than in 1927.
Glanders and Anthrax.
No cases were notified.