Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Stepney]
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369 belonged to the Lime house District, or at the rate of 6.94 per 1,000 ;
250 belonged to St. George-in-the-East, or at the rate of 5.34 per 1,000 ;
688 belonged to Mile End Old Town, or at the rate of 6.19 per 1,000 ;
426 belonged to the White chapel District, or at the rate of 6.41 per 1,000.
There were, in addition, 2,678 notification certificates received referring to
Pulmonary Tuberculosis.
Excluding Phthisis, the greatest number of notifiable diseases occurred during
the third week in September and second week in October, when 62 cases were notified
in each week. In the former period 39 cases of Scarlet Fever and in the latter period
44 cases were included. The number of notifications of Scarlet Fever did not exceed
11a week in the first five months of the year, but it started to increase in the month
of June, and it reached its maximum in the second week in October, after which
it decreased week by week.
The largest number of notifications of Diphtheria was received in the first week
in November, when 15 notifications were received, and 13 were received in the
second week in June ; in no other week were more than 10 notifications received.
Contrary to other years, the maximum number of notifications of Enteric
Fever was received in the first week in January, when 5 notifications were received.
The disease is usually at its height in the autumn, but 3 cases in the second week
October were the most received in that period of the year.
The largest number of notifiable diseases occurred during the last week of
September in the Limehouse District, the third week of September in St. Georgein-the-East,
the second week of October in Mile End, the third week of August and
first week of November in the Whitechapel District.
Wrong Diagnosis.
45 cases of Infectious Disease were removed to the Hospitals of the
Metropolitan Asylums Board, which were subsequently returned home in consequence
of the patients being found not to be suffering from the diseases stated on the certificates,
or any other notifiable diseases. Twenty-six of the cases were notified by
private practitioners, 15 from the London Hospital and 4 from other public institutions.
This number referred to 23 cases of Scarlet Fever, 18 of Diphtheria and 4 of
Enteric Fever.