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

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Lewisham 1903

[Report of the Medical Officer of Health for Lewisham]

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51
per cent. amongst children under five years, 19 per cent. between
10 and 15 years, 12 per cent. from 15 to 25 years, and 3.5 per
cent. among persons over the age of 25.
Fatalities.—Of the 448 cases, 11 or 2.4 per cent. of the
certified cases proved fatal.
Return Cases.—Of the 346 cases removed to Hospital we
were informed that 41 were considered "return cases." (See
Table 23.)
DIPHTHERIA.—This disease was responsible for 274
notifications. Of this number 192 or 70 percent., were removed to
Hospital. Twenty-four cases were returned from Hospital as not
suffering from any infectious disease, giving a corrected total
of 250. The attack rate per 1,000 of the population living at
all ages in the Borough amounted to 1.83, which shows a
satisfactory diminution when compared with 2.83 for 190.2.
Sub-dividing the cases over the various Wards of the Borough
Manor Ward suffered most, having an attack rate of 4.44, compared
with 5.09 in 1902. The Ward least affected was Forest
Hill, where the attack rate was only 0.99, compared with 0.93 in
1902.
Case Mortality.—Of the 250 cases, 20, or 8 per cent.,
proved fatal, compared with 11.8 per cent in 1902.
Anti-Toxin.—The sanction of the Local Governmen
Board was obtained for the gratuitous supply of Anti-Toxin to
medical practioners in the district. It was felt that the value of
this curative and prophylactic agent was often reduced by the
delay occasioned in obtaining a supply, or that the pecuniary
circumstances of the patient precluded its use. Arrangements
were made whereby a supply could be obtained at the Town
Hall at any hour. The following is a copy of a card supplied to
all medical practioners residing in the district, many of whom