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

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Shoreditch 1924

[Report of the Medical Officer of Health for Shoreditch]

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13
No. 11, S-Dwellings. After three weeks at home she was admitted to the
Shoreditch Institution, where she remained for another three weeks, when she was
sent to a convalescent home at Heme Bay. The possibility of her illness having
been enteric fever was not overlooked, but blood tests were negative.
On 13th November, Mrs. H-, the mother, fell ill and her case was certified as
one of enteric fever on 10th January. W. H., a female, aged 14, of the same address,
was taken ill about 19th December and was certified as suffering from enteric fever
on 3rd January. On 26th December J. H., a female, aged 7, began to show signs of
illness; her case was certified on 11th January and terminated fatally. These three
cases gave positive widal reactions. How infection was introduced into the household
is not clear, but the probability is that the mother passed the infection on to the two
children.
The fourth case in the Borough was in a boy, aged nine years, who fell ill about
9th September, and was certified on 26th September. In this case nothing was
ascertained throwing light upon the source of infection.
The cases certified in London numbered 452, being at the rate of 0.09 per 1,000
population. The case-mortality was 11.5 per cent. of the cases certified, the deaths
numbering 52, and the death-rate being 0.01 per 1,000 population.
ERYSIPELAS.
The cases certified as erysipelas numbered 54, with no deaths.

The cases amongst males and females in the Borough and its eight wards were distributed as set out below :—

Ward.ERYSIPELAS.
Cases Certified.Fatal Cases.
Male.Female.Total.Male.Female.Total.
Moorfields...44.........
Church448.........
Hoxton5510.........
Wenlock448.........
Whitmore437.........
Kingsland459.........
Haggerston314.........
Acton224.........
Totals for Borough262854.........

Pyaemia and septicaemia (blood poisoning) caused the deaths of five males and
six females, and infective endocarditis the deaths of five males and four females.