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

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Marylebone 1895

[Report of the Medical Officer of Health for St. Marylebone, The Parish of ]

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SCARLET FEVER, 1895.
13
Vaccination.—In connection with this subject it is as
well in this place to state tlie amount of vaccination
effected in 1895.
The returns given to the writer by Mr. Frith, the
Vaccination Officer, are summarised in the following table,
and to the return is added the number of births in each of
the five sub-districts diminished by the deaths under a year.
These numbers are a guide to the efficiency of vaccination,
for it is obvious that since vaccination, by law, is to be done
within three months of birth, the number of vaccinations in
any year should be at least somewhere near the births, less
the deaths under one year of age. The table shows that
the number of vaccinations have exceeded in every case the
births, the reason being that there was, and still no doubt
is, a considerable store of unvaccinated material at hand
which came forward under fear of infection when the outbreak
of 1895 was in progress.
Sub-District. Total Vaccinations. Births minus deaths
within one year of age.
All Souls 716 599
Rectory 607 441
St. Mary 1747 394
Christ Church 984 717
St. John 941 725
4995 2876
SCARLET FEVER, 1895.
A reference to the Chart will show the course, week by
week, of scarlet fever during 1895. The total number of
cases notified was 514, a number rather less than the mean
number for the five preceding years, Avhich mean number
was 547. The mean is, however, derived from a quinquennial
period, which comprised two years which may be
justly considered epidemic years, hence the number representing
the mean must be taken as an average of two
epidemic and three non-epidemic years. Looked at in this
light, scarlet fever in St. Marylebone was certainly
somewhat prevalent.