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

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Willesden 1893

[Report of the Medical Officer of Health for Willesden]

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28
Willesden Local Board.
hospital ground. In order to take precautions against
the disease spreading in the hospital, I vaccinated all
the staff and some of the convalescent patients who
expressed a wish to be done, and no one connected
with the hospital suffered. All the vaccinations done
by me were with calf-lymph and proved successful, so
that I feel if such precautions had not been taken
some of the staff might possibly have contracted the
disease. The total number of cases notified was 23,
of whom 10 were sent to the Highgate Hospital, 4
were treated at home, 8 at the Isolation Hospital, and
1 at the Small Pox Hospital at Fulham.
Scarlet Fever
Prevailed extensively all through the year till the last
few weeks, the number of cases notified being 589;
they amounted to 10 and upwards per week during
34 weeks, but not consecutively. The deaths have
been 15 which gives a rate of 0.21 per 1,000, which
is below the general average.
From the weekly published reports in the papers
of the health of London it was evident that scarlet
fever was not excessive in the earlier part of the year,
but prevailed very extensively during May, June and,
July; there was a fall during August till the second
week of September, and a very high rate during the
remainder of that month and October with a great
decline during November and December. The chart
will show how nearly that coincides with our own
experience. The North Ward, after being clear for
eight weeks had a sudden outbreak of eleven cases on
one morning, which led me to question the milk
supply, but on careful enquiry I found that milk was
not the cause, but some accidental communication by
school children; the numbers very soon declined.
Shortly before Easter a considerable number of
children attending the Roman Catholic Schools in the