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

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Dagenham 1929

[Report of the Medical Officer of Health for Dagenham]

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39
Scarlet Fever.
501 cases of Scarlet Fever in a population of 76,970 is at the
rate of 6.24 per 1,000 living, compared with the figure of 3.05
for England and Wales. The figures of incidence per 1,000
children under 15 is 13.7 compared with 12.2 for the country
as a whole which is only about 1.1 times as much.
Of the primary cases, 351 occurred in Estate houses and
63 in other houses, the comparative incidence in these latter
being therefore somewhat heavier.

Owing to lack of accommodation, about two thirds of the total number of Scar let Fever patients bad to remain at home during the entire course of the illness The following table shows the numbers of home and hospital treated in each month.

Treated at home.Removed to Hospital.Started at home Admitted later.
January285
February10111
March2254
April9125
May24141
June1419-
July1111
August1121-
September27192
October56173
November6474
December419
31715020

Beds were more or less free in February, though not all
cases desiring admission were removed. In April beds were
free, more particularly as patients were admitted to the hospitals
of other Authorities. This state continued until September.
By October, however, cases were being admitted only exceptionally
and primarily on clinical grounds.
In addition 7 cases diagnosed as Out-Patients at the
London hospitals were removed to the M,A.B. Isolation Hospitals.
It will be noticed that at [the time beds were free
approximately half of the patients were admitted; but in the
last three months, approximately only one in six was remove