Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Kensington]
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secondary. One case only in this division appears to have been
imported. The upper classes here also almost entirely escaped.
The disease occurred in 52 houses in 42 streets, viz., one house
in each of 32 streets, and 2 houses in each of 10 streets. In
South Kensington 73 houses in 51 streets were invaded, viz., one
house in each of 40 streets, 2 houses in each of 6 streets, 3
houses in each of 4 streets, and 9 houses in one street,
Ifield Road. The cases in Ifield Road were 15, or more than a
seventh of the total number for the southern division. The first
case occurred on January 1, and was imported from Enfield; the
second case on January 4; the third case on March 15; the
fourth and fifth cases, in one house, on March 20 and April 2
respectively; the sixth case, a very doubtful one, on May 20
(woman died after abortion at four months; there was "no eruption");
the seventh case (in another house), also on May 20;
the eighth, ninth, and tenth cases in July—dates of cases 8 and
9 uncertain, they were concealed—date of tenth case July 24;
the eleventh case on August 27; the twelfth case on August 28;
the thirteenth, fourteenth, and fifteenth cases, in same house as
case 11, about the middle of September. The sex of the sufferers
was, in North Kensington, males 41, females 38; in South
Kensington, males 42, females 60. In North Kensington 23
of the patients were under 15 years of age; and six of them under
5. In South Kensington 22 were under 15, six of them under 5.
In both divisions cases were most numerous between the ages
15-25, viz., 28 in North, and 44 in South Kensington.
The epidemic may be said to have commenced in September,
1884, for by 4th October the cases under treatment in the Asylum
Board's Hospitals—which had fallen in eleven weeks, ended
September 27, from 1368 to 471, the bulk of the patients being
at the Darenth Camp—had risen to 533. At the end of October the
eases had further risen to 588. In this month there were seven
cases in Kensington, including two in the southern division. In
four weeks to October 24th, sixteen patients were admitted at
the Western Hospital, but only seven remained on the 24th.