London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Marylebone 1938
[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]
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Diphtheria Immunisation of Children (Ages 0—15 Years).
| 1936 | 1937 | 1938 | |
|---|---|---|---|
| Estimated child population (0—15 years) | 13,500 | 13,300 | 13,300 |
| Number of cases of diphtheria notified amongst child population | 94 | 82 | 69 |
| Number of notified cases of diphtheria in which diagnosis was confirmed | |||
| Attack rate per 1,000 child population | 6.96 | 6.16 | 5.19 |
| Deaths from diphtheria amongst child population | 6 | 2 | 2 |
| Death rate from diphtheria per 1,000 child population | 0.44 | 0.15 | 0.15 |
| Number of children Schick negative on preliminary test | 5 | 2 | 5 |
| Number of children given course of immunising injections who on subsequent test proved negative | 127 | 104 | 132 |
| Number of cases of diphtheria amongst immunised children | Nil | Nil | Nil |
| Deaths from diphtheria amongst immunised children | Nil | Nil | Nil |
| Immunising agent used | T.A.F. | T.A.F. | T.A.F. |
SCARLET FEVER.
Notifications of this disease numbered 88, the highest number of cases reported
in any one week being 9. There were two deaths from scarlet fever during
1938. In 1937 there were 121 notifications, no death resulting.
The districts to suffer most from the disease were Christ Church and All Souls.
In the former there were 39 cases and in the latter 23. St. Mary and St. John
reported 14 and 11 respectively.
As usual, the majority of the patients were children, 63 being under 15 years
of age. Of the remainder, 16 were in the age-group 15-35 and 9 were over 35 years
of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 12 instances that a definite connection could be
made out.
ENTERIC FEVER AND PARATYPHOID FEVER.
Eight notifications of enteric fever and three of paratyphoid fever were received.
There were no deaths. In none of the cases was any information obtainable indicating
that the source of infection arose within the Borough.
CEREBRO-SPINAL FEVER.
There were four cases of cerebro-spinal fever notified during the year. No death
was attributed to this disease.
ENCEPHALITIS LETHARGICA AND POLIO-ENCEPHALITIS.
No notification of either of these diseases was received during the year, neither
were any deaths reported as due to them.
ACUTE POLIOMYELITIS.
Four cases of acute poliomyelitis were notified during the year. No death
from this disease was recorded.
ERYSIPELAS.
The notifications of erysipelas numbered 35, no death resulting directly from