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

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Kensington 1878

[Report of the Medical Officer of Health for Kensington]

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18
south district, and in the sixth report (June 25th) the last report that
will be referred to here, the cases rose again to 28, of which 25 were
in the south district.
The streets that successively became infected were the following:—
Moreton Gardens, Childs Place, Adrian Terrace, Redcliffe Street,
Shaftesbury Terrace, Kramer Mews, Ifield Road, Finborough Road,
Fenelon Road, Redcliffe Mews, Tregunter Road, Yeoman's Row,
Pembroke Square, Redcliffe Gardens, Warwick Terrace, Cathcart Road,
Ashley Cottages, Queen's Gate Gardens, Redcliffe Square, Glos'ter
Road, Coleherne Road, Cromwell Road, Earl's Court Road, &c., &c.
It will be apparent to those who know the district, that many of the
above streets are far away from the hospital, and are separated from it
by other streets in which, so far as we know, the disease has not
made its appearance.
One remarkable fact must not be overlooked, viz., the frequency
of the instances in which a female domestic servant was the only person
ill in a house. In the great majority of instances there was but one
case in a house, and in a considerable number of these, the single
sufferer was a servant; in most of such cases, moreover, the symptoms
first showed themselves on or very near Sunday, at a period when they
would have been expected to develope, on the assumption that the
disease had been contracted on the previous Sunday week when the
sufferer was enjoying her "Sunday out." In one month alone out of a
total of 27 cases—one to a house—no fewer than 12 were of female
domestic servants. Granting the hospital to have been the source of
infection in these cases, by what law of selection can it be explained,
how it happened that one only of several servants, and no other
member of the household should have been stricken? The opponents
of the hospital have not hitherto offered an explanation of the fact, but
we know that in many of these instances, the disease has been traced to
exposure to infection at the homes of the sufferers. Artizans and
labourers came next in order of frequency as the victims in the recent
outbreak. The number of children attacked was relatively small as it
has always been, within my experience, in the Brompton district.
The comparative freedom of the northern parts of the parish from
the disease, during the progress of the epidemic in the first half of the
current year, has been somewhat remarkable. There were six cases in
one house,—one died at home, the others were removed; there were