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

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Marylebone 1936

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

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38
The Puerperal Pyrexia cases notified during the year numbered 28; 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, 1926. The number notified! in 1935 was 36.
Measles and German Measles.
These diseases showed an epidemic tendency during the first eight months of
1936, and although they are not now notifiable, 40 cases were reported voluntarily
by doctors and parents and 741 notices of cases and contacts were received from
school teachers. There were 8 deaths.
The course adopted in relation to the reported cases was the same as in
previous years. Practically every case was visited by the Health Visitors, particular
attention being given to such as occurred in tenement houses. The services
of a Nurse, under the agreement between the Council and the Paddington and St.
Marylebone District Nursing Association, were obtained in 33 cases.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from
notices received from school teachers, who reported 85 cases and contacts. There
were 5 deaths. In 1935 the number of deaths registered as due to whooping cough
was 4.
Glanders and Anthrax.
No cases were notified during the year.
Small Pox.
There have been no cases of this disease in the Borough.
Vaccination.—The usual table has been prepared by the Vaccination Officer
and will be found on page 69. The following statement gives some information
with regard to the work done and the results obtained by Dr. Bulman during 193C.
Number of visits paid 1,380
Number of vaccinations—
Primary 447
Re-vaccinations 96
543
Number of successful vaccinations 493
Number of unsuccessful vaccinations 50

BACTERIOLOGICAL EXAMINATIONS.

The following table shews the number of specimens examined for the purposes of diagnosis, and indicates also the diseases in relation to which the examinations were made :-

Disease Suspected.Positive.Negative.Total.
Enteric Fever-22
Diphtheria79781860
Phthisis25191216
Totals1049741,078