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 Fulham]
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48
were not removed. Of the 196 cases removed to hospitals ,74
were taken by the Union Authorities, and 122 by your Board,
112 to Highgate, and 10 to the Fulham Small-pox Hospitals.
Of the 119 cases occurring in the parish of Hammersmith.
100 were isolated at hospitals. Of the 209 cases occurring in
the parish of Fulham, 96 cases were removed. 84.0 per cent.
therefore, of the cases occurring in Hammersmith, were removed
to hospitals, and 45.9 per cent. of those occurring in
Fulham. This difference in the per centage of cases properly
isolated is sufficient to account for the great difference in the
number of cases occurring in the two parishes. Of the 112
patients removed to Highgate, 21 died, and 9 out of the 19
treated at home in the parish of Hammersmith. 18.7 per
cent. therefore, of the patients removed to Highgate died, and
47.3 of those treated at home in Hammersmith. The most
energetic efforts were made to get cases removed to hospitals,
but unfortunately a large proportion of patients remained to
spread the disease without proper accommodation, or means of
isolation. Some of the medical men in the district and nearly
all of those in Hammersmith, did all in their power to assist
us in the removal of cases. I wish particularly to mention Dr.
Daniell, who spared no trouble to assist us in stopping the
spread of the disease, I do not know of a single instance in
that gentleman's practice, where the case was not at once reported,
immediately removed, and as a consequence the
disease at once stamped out in the house. I do not think that
I am saving a word too much when I state, that if all the
medical men in the district had adopted the same course, 90
per centl of the cases would have been prevented. Unfortunately
there was a very different course adopted by s6me,
though I am very glad to say few. I found numerous cases
treated with the worst possible accommodation. One case in
particular, which occurred at North End, Fulham, where I
found a patient who was being treated upon a sofa in a parlor
through which the people of the house passed into the kitchen
very many times a day. In another case, at North End, Fulham,
I felt it my duty to dispute the question of accommodation,
and appealed to the learned magistrate, who was of the same
opinion as myself, that all such cases ought to be removed to
hospitals, and granted us all the power the law affords. I am
glad to say that since he expressed his opinion in public the
opposition with which we had been met has very considerably
diminished. The difficulties that we have to contend against