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

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Marylebone 1933

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

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35
Encephalitis Lethargica.
One case of this disease was notified.
Polio-Encephalitis and Polio-Myelitis.
These diseases were entirely absent from the Borough during the year.
Erysipelas.
The notifications of erysipelas numbered 76, and there were no deaths. Most
of the cases were notified from the St. Charles' Hospital and the General Hospitals,
and 55 patients were treated in such institutions.
Puerperal Fever and Puerperal Pyrexia.
The number of cases of Puerperal Fever notified was 8. Particulars of the
3 patients who died of these conditions are given under the heading Maternal
Mortality.
In each case a visit was paid by one of the Health Visitors and assistance and
advice as was suitable and possible offered.
The Puerperal Pyrexia cases notified during the year numbered 17; most of
ihe 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, 1926. The number notified in 1932 was 26.
Measles and German Measles.
These diseases showed no epidemic tendency during 1933. Although they are
not now notifiable, 12 cases were reported voluntarily by doctors and parents and
87 notices of cases and contacts were received from school teachers. There were
no 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.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from
the death returns, and during 1933 the number of deaths registered as due to
whooping cough was 6. There were 14 deaths from the disease in 1932.
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 annually for some
years the Borough has remained remarkably free, there being no cases since 1931,
when there were two.
Vaccination.—The usual table has been prepared by the Vaccination Officer
and will be found on page 68. The following statement gives some information
with regard to the work done and the results obtained by Dr. Bulman during 1933.
Number of visits paid 1,426
Number of vaccinations—
Primary 587
Re-vaccinations 163
700
Number of successful vaccinations 657
Number of unsuccessful vaccinations 48
Number of refusals 6