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

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Marylebone 1930

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

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43
Cerebro-Spinal Fever.
Four cases of this disease were notified during the year.
Encephalitis Lethakgica.
There w ere 2 cases of this disease notified.
Polio-Encephalitis.
No cases of this disease were notified.
Polio-Myelitis.
There was 2 cases of this disease notified during- the year.
Erysipelas.
The notifications of erysipelas numbered 61, and there were no deaths. Most
of the cases were notified from the St. Charles Hospital and the General Hospitals,
and 39 patients were treated in one or other of these institutions.
Puerperal Fever and Puerperal Pyrexia.
The number of cases of this disease notified, viz., 8, was above the average
of the last few jears. Four of the patients died. Particulars of these cases are
given under the heading Maternal Mortality.
In each case a visit was paid by one of the Health Visitors and the premises
were disinfected.
The Puerperal Pyrexia cases notified during the year numbered 25 ; 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 1920 was 19.
Measles and German Measles.
Though these conditions are not now notifiable, 1,251 cases were reported : 98
voluntarily by doctors and parents and 1,153 by school teachers. There were 35
deaths.
The course adopted in relation to the notified cases was the same as in the
previous year. Practically every case was visited by the Health Visitors, particular
attention being given to such as occurred in tenement houses. Under an
agreement entered into between the Council and the Paddington and Marylebone
Nursing Association, the services of a Nurse were obtained in cases in which the
attack was severe. The nurses made 49 visits to 9 cases.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from
the death returns, and during 1930 the number of deaths registered as due to
whooping cough was 2. In 1929 the number was 23, and in 1925, 21.
Glanders and Anthrax.
No cases were notified during the year.
Small Pox.
In spite of the fact that there has been a fairly considerable prevalence of
small pox of the milder variety throughout the metropolis, more or less each year
since the date of the last Survey Report in 1925, the Borough has remained
remarkably free. The only year, indeed, in which a notable number of cases