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

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Stepney 1914

[Report of the Medical Officer of Health for Stepney]

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11
Notifiable Diseases.
3,416 notifications of infectious disease were received, or 1,699 more than in
the previous year. This corresponds to a rate of 12.1 per 1,000 of the population.
2,893 were removed to various Hospitals and Infirmaries. This large increase is to
a great extent accounted for by the epidemic of Scarlet Fever which occurred
during the year.
493 belonged to the Limehouse District, or at the rate of 9.4 per 1,000.
502 belonged to St. George-in-the-East, or at the rate of 10.8 per 1,000.
1,266 belonged to Mile End Old Town, or at the rate of 11.4 per 1,000.
1,155 belonged to the Whitechapel District, or at the rate of 17.9 per 1,000.
There were in addition, 3,199 notification certificates received referring to
Tuberculosis, 1,532 of whom were notified for the first time.
Excluding Tuberculosis, the greatest number of notifiable diseases occurred
during the third week in October, when 140 were notified. During this week, the
largest number of notifications of Scarlet Fever was received, viz., 98. The
maximum number of notifications of Diphtheria was received during the fourth
week in November, when 40 notifications were received.
The largest number of notifications of Enteric Fever was received in the third
week in December when 6 notifications were received.
The maximum number of notifiable diseases occurred during the fourth week
of September, and last week of December in the Limehouse District, the second
week of October in St. George's, the third week of November in Mile End, and the
first and third weeks of October in the Whitechapel District.
Wrong Diagnosis.
99 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. 53 of the
cases were notified by private practitioners, 32 from the London Hospital, and
14 from other public institutions.
This number referred to 59 cases of Scarlet Fever, 37 of Diphtheria, and 3 of
Enteric Fever.

Bacteriological Examinations.

943 specimens were bacteriologically examined, with the following results:—

No. Positive.No. Negative.Total.
Consumption133476609
Diphtheria95206301
Enteric Fever102333
238705943