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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(4) A youth, aged 16, apprenticed to an upholsterer, of 50, H — Street, was
take ill towards the end of March or the beginning of April. He was last at work
in the latter month. He was admitted to the London Hospital on May 2nd, where
the remained lor five weeks. Drowsiness, sleepiness during day, restlessness at night
and double vision were amongst the early symptoms noticed. The case was certified
on September 28th, when he was attending the hospital as an out-patient. Restless
nights and day-time drowsiness were still apparent, but he was said to be improving.
There was no history of recent illness in the house which was occupied only by the
family of" the patient, consisting of seven persons, and was in a satisfactory sanitary
condition. At the end of the year he was under treatment at the German Hospital.
He was not sleeping well, although at times he had prolonged spells. His intelligence
was, poor, his conduct fair ; he complained of pain in his back and loss of power.
(5) A voting man, aged 10, a packer, of 31, W-Terrace, was taken ill on
December 21st, and was certified nine days later. The initial symptoms were severe
headache, paroxysmal dizziness, extreme drowsiness, and sleepiness day and night.
Subsequently abdominal pains were complained of. Five days after the case was
notified the patient was stated to be greatly improved, only a slight headache being
noted. There were 7 persons in the patient's family, and altogether 12 in the house,
which was in a satisfactory sanitary condition, and there was no history of recent
illines-.
In addition to the foregoing, seven other cases were certified and removed to
hospital, but these subsequently were not regarded as having been cases of encephalitis
lethargica.
With regard to the cases coming under observation during the year, Nos. (2)
(3) were in the same street, and it is possible there may have been some
connection between them, as the patients were acquainted with each other although
they did not associate. The number of persons belonging to the families in which
the cases occurred was 35, and in addition there were some 10 other persons resident
in like houses invaded. There was nothing especially noted as regards suspicious
illness in the houses, and four out of the five were satisfactory from a sanitary point
of view.
At the end of the year 1925 enquiries were made with respect to 18 of the cases
testified during 1924, with the result that in 7 recovery was affirmed, 4 were under
treatment in institutions, in six there was no improvement, and in one instance the
police had committed suicide.
GLANDERS, ANTHRAX AND HYDROPHOBIA.
No cases of the above were certified in Shoreditch, and there were but three
case of anthrax notified during the year in the Metropolis.
B 2