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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Isolation.—867 patients, or 90.8 per cent. of those certified
to be suffering from the disease, were removed to the hospital
for treatment.
School Outbreaks.
In February the occurrence of three cases of Diphtheria
in one of the girls' classes at Hugon Road School led to the
bacteriological examination of the throats of the other girls
in the class. No case was detected, but four sisters, one
being a member of the affected class, who had been absent
when the first examination was made, were subsequently
found to be suffering from mild Diphtheria and were removed
to hospital, after which there were no further cases.
In July the examination of the children in one of the
Infant classes at Clancarty Road School consequent upon
the occurrence of some cases led to the detection of one child
with clinical symptoms of Diphtheria, and another whose
culture showed true Diphtheria bacilli.
In April one of the boarders at a private school in Fulham
was notified as suffering from Diphtheria, and a bacteriological
examination of the boarders showed that four others
were also affected, who were removed to hospital. Two day
scholars in attendance at the school were also found to have
Diphtheria. The school was closed for three weeks, and
there were no further cases after the reopening.
In October there were two cases in one of the Girls classes
at St. Dunstan's School, and on examination of the others,
one child in attendance was found to be harbouring the
bacillus.
Distribution.
The following table gives the number of cases notified per
10,000 of the population of each ward since 1896:—
TABLE XVIII.
| 1896 » | 1897 | 1898 | 1899 | 1900 | 1901 | 1902 | 1903 | 1904 | 1905 | Mean of 10 years 1896-1905 | 1906 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Baron's Court Ward | 24 | 34 | 25 | 48 | 25 | 34 | 18 | 9 | 20 | 52 | 27 | 24.6 |
| Lillie | 56 | 80 | 51 | 70 | 34 | 40 | 25 | 18 | 11 | 54 | 44 | 63.4 |
| Walham | 45 | 70 | 61 | 60 | 28 | 65 | 17 | 14 | 21 | 43 | 42 | 46 7 |
| Margravine | 72 | 79 | 83 | 53 | 37 | 28 | 51 | 37 | 11 | 34 | 49 | 40.0 |
| Munster | 46 | 60 | 87 | 65 | 43 | 38 | 29 | 27 | 26 | 64 | 49 | 41.4 |
| Hurlingham | 46 | 51 | 63 | 74 | 40 | 57 | 26 | 22 | 12 | 40 | 43 | 41.5 |
| Sands End | 74 | 66 | 65 | 79 | 62 | 61 | 81 | 46 | 24 | 54 | 61 | 41.1 |
| Town | 57 | 39 | 68 | 67 | 30 | 30 | 26 | 32 | 23 | 43 | 42 | 28.5 |
| The Borough | 54 | 63 | 65 | 65 | 41 | 47 | 38 | 28 | 19 | 50 | 47 | 42.3 |
| The County of London | 58 | 51 | 38 | 49 | 30 | 41 | 40 | 28 | 29 | 42 | 41 | 43.1 |
The cases occurring in the four quarters of the year were:—
| Cases. | Deaths. | |
|---|---|---|
| 1st Quarter | 103 | 9 |
| 2nd „ | 78 | 6 |
| 3rd „ | 65 | 2 |
| 4th „ | 157 | 16 |
The 403 cases occurred in 342 houses as under:-
| Houses with one case | 296 |
| „ „ two cases | 37 |
| „ „ three „ | 5 |
| „ „ four „ | 2 |
| „ „ five „ | 2 |