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

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Carshalton 1939

[Report of the Medical Officer of Health for Carshalton]

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Two further eases were mild attacks not confirmed baeteriologically.
They recovered at home.
The remaining case was an amoebic dysentery in an adult who had
spent some years in India. He was admitted to a London hospital,
where the diagnosis was established.
The cases occurring in Queen Mary's Hospital (11) were all Sonne
infections.
Scarlet Fever.
The total number of scarlet fever notifications was 202, of which
15 were from Queen Mary's Hospital. The incidence rate was,
accordingly, 3.42 per 1,000 for the whole district and 3.16 for the
district excluding the hospital. These figures compare with 4.06 and
3.95 respectively in the year before. The rate for England and Wales
was 1.89.
No person died of this infection.
Eighty-eight per cent, of the cases were removed to hospital.
There were 9 " return cases," i.e., cases occurring in the same home
within one month of the return from hospital of a previous case. The
intervals between the return of previous cases and the onset of the
" return cases " were as follows:—
2 cases at 4 days' interval,
2 cases at 5 days' interval,
2 cases at 6 days' interval,
1 case at 7 days' interval,
1 case at 10 days' interval,
1 case at 20 days' interval.
The notified cases were distributed throughout the district as
follows:—

TABLE 16.

SCARLET FEVER—WARD INCIDENCE, 1939. (Excluding Queen Mary's Hospital.)

Ward.Cases.Rate per 1,000 population.
St. Helier North424.80
St. Helier South344.81
St. Helier West516.01
North-East181.99
North-West182.48
Central101.68
South-East40.55
South-West101.52
Whole District1873.10

Table 17, giving seasonal prevalence, shows that the incidence was
fairly evenly distributed over the year.
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