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

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Marylebone 1929

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

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The following table and summary give details of the work of the Clinic during the year.

Children under 5.Children over 5.Adults.Total.
Total number on books581003161
Inoculated without Schick Test10-10
Tested—Positive3443380
Negative1053-63
Not reported53-8
Injections—1st49732124
2nd4143286
3rd3739278
Retested7020292
Injections—4th1427
5th-213
6th-1-1
Completely immunized5417273
31129816625

SUMMARY.
Total number on books 161
Number of children under 5 58
Number of children over 5 100
Number of adults 8
Number of Sessions 47
Number of attendances 625
Average weekly attendance 13
Scarlet Fever.
The number of cases was higher than in 1928, 237 cases as against 223, the
increase in the main being due to an outbreak numbering some 50 cases in the
Hospital of St. John and St. Elizabeth. The source of the infection appeared to be
an unrecognised case amongst the patients admitted, and an interesting feature
that so very many of the members of the staff were attacked.
The highest number of cases reported in any one week was 35.
The total deaths from scarlet fever numbered 1, and the number of deaths
per cent, of the cases was 0.42.
The districts to suffer most were Christ Church and St. John. In the former
there were 62 cases and in the latter 79. In St. Mary there were 48 and in
All Souls 44. ;
As usual the majority of patients were children of school age, the age group,
5—15, giving 86 of the total. Of the remainder, 53 were aged between 1 and 5
years, and 98 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 22 instances that a definite connection could be
made out.
Defects in sanitation to the number of 16 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 5. There were no deaths.
Of Paratyphoid Fever there were 6 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.
Three casts of this disease were notified during the year.