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

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Shoreditch 1925

[Report of the Medical Officer of Health for Shoreditch]

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9
fevers, relapsing fever, anterior polio-myelitis, encephalitis lethargica, cerebrospinal
fever, together with certain cases of measles, whooping cough, puerperal
fever, trench fever, malaria and dysentery.
The cases of diphtheria, scarlet fever, enteric fever, continued fever, puerperal
fever and cerebro-spinal fever, polio-myelitis and encephalitis lethargica certified,
numbered 958 (Table II., Appendix), and the number removed to hospital, mainly to
the hospitals of the Metropolitan Asylums Board, was 934 or approximately 98 per
cent.
RETURN CASES.
The following came under observation during the year:—
(1) Charlotte B—, aged five years, of 18, E—Street, was taken ill on
January 13th, and Elsie B—, aged two-and-a-half years, on the following day ;
they were certified as cases of diphtheria, and removed to hospital on January 13th
and 14th respectively. These children returned home on February 12th, and three
days later their mother, aged 24, was taken ill, and was removed to hospital on
February 17th as a case of diphtheria. The diagnosis, however, was not confirmed
by the hospital authorities.
(2) Amelia S—, aged two years, of 17, D—, was removed to hospital as
a case of diphtheria on January 8th, returning home on February 7th; Muriel
R—, aged four-and-a-half years, of the same address, fell ill on February 10th,
and was ten days later removed to hospital with diphtheria. As Amelia had a
suspicious nasal discharge she was again certified and removed to hospital.
(3) Albert R—, aged four, of 24, N—Road, was certified and removed to
hospital as a case of scarlet fever on June 4th, returning home on August 29th. On
his return he had a discharge from nose and ears. Madge R—, aged three, was
certified to have scarlet fever on September 9th, and removed to hospital, and the
following day Walter R—, age six, was removed from the same address, and
Joan H—, aged three-and-a-half years—a contact—from 14, B—Street. At
the date these cases came under observation the discharge mentioned in the case
of Albert had to a large extent cleared up. It was not thought necessary for the
child to be again removed to hospital, but precautions were taken as regards the
child's nose and ears, and there were no further cases.
SMALLPOX.
No cases were certified in Shoreditch. Some fifteen were certified elsewhere in
London, and there was one death. In connection with some of these cases there
were a number of contacts resident in the Borough, who had to be kept under
observation. None of them, however, developed the disease.