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

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Walthamstow 1931

[Report of the Medical Officer of Health for Walthamstow]

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Month.St. James' Street.High Street.Hoe Street.Wood Street.Hale End.Higham Hill.
January9152612
February6292312
March13161117
April1237368
May782299
June1652319
July1762485
August1213248
September91031710
October466174
November6251119
December93971010
Totals193112048572885113
1930162101736580126

The percentage of cases removed to Hospital during 1931 was
79.6 against 68.2 in 1930. No cases were refused admission.
The death rate for Scarlet Fever during 1931 (per 1,000 population)
was 0.01. Seventy-seven visits were paid by the Medical
Staff in connection with Scarlet Fever.
Reference to the use of the Dick test (i.e., for susceptibility
to Scarlet Fever) is made later, but no active immunisation was
carried out.
Eleven cases were notified following Tonsillectomy at various
Hospitals, the eruptions occurring respectively after one day in
two cases, after two days in two cases, after three days in six cases,
and after five days in one case.
With the prevailing mild type of Scarlet Fever all cases which
can be adequately isolated and nursed at home should be so treated
in preference to removal to Hospital, where relapse frequently occurs.
There now seems to be no doubt that such relapses are due to reinfection
with a different type of scarlatinal streptococcus and,
frequently, the new attack is more serious and is attended by more
complications than the original one.
In order to hospitalise cases ideally and adequately, all
admissions should be to cubicles, after which the cases should be
grouped according to the bacteriological typings of their infecting
organism.
Scarlet Fever at Brookfield Orthopaedic Hospital.—From
the 7th October onwards a troublesome outbreak of Scarlet Fever
occurred at Brookfield Hospital, and up to the end of the year a
total of 9 definite cases had been notified. Following the notification