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

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East Ham 1938

[Report of the Medical Officer of Health for East Ham]

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11
Death rate of infants under one year of age :—
All infants per 1,000 live births 51
Legitimate infants per 1,000 legitimate live births 50
Illegitimate infants per 1,000 illegitimate live births 71
Deaths from Cancer (all ages) 221
Deaths from Measles (all ages) 5
Deaths from Whooping Cough (all ages) 3
Deaths from Diarrhoea (under 2 years of age) 8
No unusual or excessive mortality occurred during the year.
Any causes of Sickness or Invalidity which have been
specially noteworthy in the Borough during the year;
any Conditions of Occupation or Environment
which appear to have had a prejudicial effect on Health
and any evidence, Statistical or otherwise, that unemployment
has exercised any significant influence on the
Health or Physique of children or adults.
As will be seen later in the report, a few sporadic cases of
typhoid and para-typhoid fever occurred during the months of
July to October; despite minute enquiries, no definite connection
could be found with cases arising similarly in other areas
contiguous to or at a distance from the borough. These cases
were generally mild in character, and all recovered.
The outbreak in December, limited to a small area on the
north-western boundary of the district, was of more serious
import, and pointed to a common source of infection associated
with food. Ten cases of true typhoid fever were notified in somewhat
rapid succession; the patients were extremely ill and
shewed all the characteristics of a virulent affection. Pathological
and bacteriological examination substantiated the
findings and gave serum agglutination in high dilutions to
both typhoid and para-typhoid B. One patient, the first case
to be reported, succumbed to the illness. Extensive investigations
involving the collation of very considerable detail,
established the origin of infection as beyond the confines of this
borough, and in conjunction with other authorities approppriate