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

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Woolwich 1911

[Report of the Medical Officer of Health for Woolwich]

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35
The Hospital superintendents forward the names of any
children discharged while still suffering from rhinorrhœa. It
would be an advantage perhaps if they also forwarded the
names of children who had suffered from a rhinorrhcea
which appeared to have ceased.
41. Home Isolation. 18 certificates of efficient home
isolation were given to enable men to continue their employment
in the Arsenal, compared with 16, 11, and 13, in
the three preceding years.
107 cases were isolated at home. None of these was
followed by a secondary case which could be attributed to
failure of isolation or persistence of infection.
In 1907-8-9 home isolation was followed by three return
cases, land three secondary cases, making a total of six cases,
due to failure of isolation. Taking the 128 hospital return
cases in 1907-10 on one side, and the six failures of home
isolation and home return cases on the other side, and comparing
these with the 2,798 cases isolated in hospital and 371
isolated at home respectively, it may be said that there were,
in the four years, 4 6 per cent. of failures in the hospital
isolation, and 1.6 per cent. in the home isolation. This
comparison takes no account of the not inconsiderable number
of children who are attacked at hospital by a second infectious
disease, and the much shorter period of isolation
at home.
42. Other sources of Infection. In addition to return
cases, a [probable source of infection was found in 91 cases.
In 46 cases, infection was attributed to other inmates of
the house. Some of these were never notified, and had no
distinct symptoms of scarlet fever, but a history of sore
c 2