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

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Woolwich 1913

[Report of the Medical Officer of Health for Woolwich]

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47
Loffler bacillus (so-called positive cases). Most of the
children were contacts seen about ten days after notification
of a primary case for the purpose of preventing pupils
returning to school in an infectious state. Others were
examined with the object of finding possible sources of infection,
e.g., where the first case notified in a house was
a child not attending school; others again were children
suspected to have diphtheria by the School Teacher, the
Attendance Officer, or Sanitary Inspector. In 6 cases without
symptoms the bacillus disappeared within two or three weeks.
9 positive cases had symptoms of running or sore nose or
sore throat; these were notified and sent to hospital or
strictly isolated. Positive cases without any symptoms were
excluded from school and from mixing with other children
outside the house.
ENTERIC FEVER.
54. There were 8 cases of enteric fever, not including
6 cases of mistaken diagnosis notified as enteric. The caserate
was 0.06, compared with 0 06, 0 10, and 0.15, (in
the three preceding years. For the ten years 1892-1901,
the rate never fell below 0.41. The case-rate in London
was 0.17. Out of a total of 14 cases notified, 10 went to
hospital. The case-rate is the lowest recorded in the
Borough.
55. There was 1 death from this disease, giving a deathrate
of 0 01. The death-rate in London was 0.02.
In the preceding five years the death-rate in Woolwich was
0.02, and in London 0.03.