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

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Enfield 1968

[Report of the Medical Officer of Health for Enfield]

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Fifty-four cases of respiratory tuberculosis and twelve cases of tuberculosis of
other organs, including genito-urinary tract, lymph glands and meninges, were
notified. There were eleven deaths from the disease. The ten deaths from respiratory
tuberculosis and the one death from tuberculosis of other organs all occurred in
persons over the age of 35 years, seven being persons over 65 years of age.
Of all notified cases of infectious disease 566 were school children; and head
teachers informed us of 407 children absent from school due to infectious or suspected
infectious disease. A number of the cases notified by head teachers were
pupils suffering from diarrhoea and vomiting.
Dysentery
Two hundred and thirteen cases of Sonne dysentery were notified, and the
attack rate was 0.79 per 1,000 of the population. There were no deaths.
Erysipelas
Seven cases of erysipelas were notified, and the attack rate was 0.03 per 1,000
of the population. There were no deaths. Not notifiable after 30th September,
1968.
Food Poisoning
Twenty-five cases of food poisoning were notified, and the attack rate was
0.09 per 1,000 of the population.
Two cases occurred in one family outbreak and the rest were single sporadic
cases.
The causative organism was salmonella typhi-murium in five cases, other
salmonellae in twelve cases, and in the remaining eight cases the cause was unknown.
There were no deaths.
Infective Jaundice
Since this disease became notifiable on the 15th June, 1968, 44 cases were
notified, of which only three were cases of serum hepatitis. Of the remaining 41
cases of infective hepatitis contact with a known case was established in fourteen
instances, while five of the remaining cases were known to have consumed shellfish;
in addition one of the persons who was a contact with a case, was also known to
have eaten shellfish.
These few notified cases presented a significant difference in incidence between
the sexes in the age group 20-29 years, as shown in the following table.
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