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

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Woolwich 1903

[Report of the Medical Officer of Health for Woolwich]

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44
85. Of 147 cases notified between January 1st and September
30th, 43 died before the end of the year, 21 dying within
one month of notification, and 17 more within 6 months.
In 23 notified cases the previous duration of the disease was
under six months, in 30 between six months and a year, in 23
between one and two years, and in 72 over two years.
So far then voluntary notifications cannot be said to have
been very successful in getting early information of the
occurrence of these cases ; but it must be remembered that the
majority of them belong to a class who are very slow in
seeking medical assistance.
86. The source of infection in 125 notified cases was
probably as follows:—
Relatives, 39—viz. (father 8, mother 11, brother 11,
husband 3, sister 5, son 1.)
Friends 3 Lodgers 3
Neighbours 2 Landlord 1
Hospital 1 Army 1
Workshop 35 Public house 39
If a probable source of infection could not be found in home
or friends, and the patient was employed in a workshop, the
infection was put down to this source unless there was
distinct evidence of intemperance. Cases of intemperance, and
others occupied out of doors, in such occupation as dock
labourers, carters, etc., and known to frequent public houses
were classed under this heading.
87. Of 99 adults (viz. 75 notified and 24 deaths) as to whom
information was obtained, (excluding persons under 20 years of
age) 7 were said to be teetotallers, 59 temperate or moderate
drinkers, and 33 intemperate. Teetotaller often means not an