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

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Stepney 1911

[Report of the Medical Officer of Health for Stepney]

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21
Both these patients were discharged from the fever hospital on August 21st,
the Medical Superintendent stating that they were not suffering from cholera.
On August 17th, J. C., aged 45, of Hanbury Street, and on August
18th, R. L., aged 65, of Rothschild's Buildings, were certified to be
suffering from Cholera. They were notified by the same doctor who had notified the
other cases. They refused to go the fever hospital, and as the other cases were found
not to be suffering from Cholera, I did not insist on their removal. R. L. was
also seen by another doctor, who said she was suffering from gastric enteritis.
J. C. was also seen by another doctor, who certified that he was not suffering from
any infectious disease.
There was no connection between any of the cases, and inquiries show that in
none of the cases was there reason to suspect Asiatic cholera, although the doctor
in attendance had experience of cholera in India.
Zymotic Diseases.
The total deaths from diseases of a Zymotic character numbered 898. It includes
deaths from Measles, Scarlet Fever, Whooping Cough, Diphtheria, Croup, Enteric
Fever, Puerperal Fever and Diarrhoea.
The number is 491 more than in the previous year.
252 belonged to the Limehouse District, or at the rate of 4 69 per 1,000 of
the population.
212 belonged to St. George-in-the-East, or at the rate of 4 50 per 1,000 of
the population.
311 belonged to Mile End Old Town, or at the rate of 2.79 per 1,000 of
the population.
123 belonged to the Whitechapel District, or at the rate of 1.82 per 1,000
of the population.
Measles.
The past year has been characterised by an unusual prevalence of Measles, not
only in Stepney, but also in many other parts of the country, and especially in the
Administrative County of London. The disease has shown a remarkable capacity
to spread, and, judging from the heavy mortality, it appears to have been exceedingly
virulent in type. The regular recurrence of Measles in epidemic form has
naturally led administrators to consider the question of the control of the disease,
but, so far, no measure has been uniformly successful. In no sanitary district, up
to the present, can the disease be said to have been controlled. The occurrence of