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

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Edmonton 1895

[Report of the Medical Officer of Health for Edmonton]

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14
to the Workhouse, and within a few days of its return developed
a slight sore throat, but without rash, and a series of eight cases
subsequently arose among the children then resident in the
Workhouse.
At the close of the year there were cases in 12 houses in
the district. Enteric Fever.
Thirty cases were notified during the year, with 6 deaths.
2 cases, including 1 of the fatal cases, occurred in the Edmonton
Workhouse; both were admitted with the disease from Tottenham.
On January 16th a case was notified in the Croyland Road,
and from the recovery of this case until July the district was
practically free from this disease, for the two Workhouse cases
notified in March and in May respectively, came, as above stated,
from without the district. It is true that 2 other notifications
were received during this period, but they both proved on further
observation to be errors of diagnosis.
In the end of August and beginning of September a small
group of 4 cases, 1 of which was fatal, occurred. There was,
apparently, some connection between these cases, and it is noteworthy
that the first of them arose in the same road in which
the January case occurred, and in which some drainage defects
were found. Two other cases occurred during this period in
another part of the district, in 1 of which it was certain and in
the other probable that the disease was contracted elsewhere.
In October and November 12 cases occurred, 1 in the Edmonton
portion of Bush Hill Park, 8 in the Upper Edmonton
district, and 3 in the Lower Edmonton district. In most of these
instances the disease was of a severe type, and there was some
prevalence of influenza at the time, some few cases occurring in
which the diagnosis between these two diseases presented considerable
difficulty.
In December a group of 4 cases of a virulent type occurred,
two died before the close of 1895, and one early in 1896, 3 were
members of one family and lived in the same house. The nature
of the disease did not become evident to the practitioner attending
until the third case had occurred. The fourth case was that of