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 Rotherhithe]
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As soon as Scarlatina abated, warnings arose that indicated the approach of Small Pox, and some lives
succumbed to this disease; it so difficult to obtain information from Small Pox patienta relative to
vaccination, that I cannot adduce trustworthy or accurate information as to the number of deaths that had
occurred in vaccinated or unvaccinated persons; but there is no doubt that efficient vacccination is almost a
complete protection from the disease, but that revaccination at certain intervals is necessary to add to its
•ecurity. it is also unquestionable that the mortality is considerably higher in the unvaccinated, than in the
rarcinated class, and that many deaths are caused by neglect of vaccination, imperfect vaccination, and the
omission of revaccination; the other mischievous influences already alluded to, we doubt add to the extension
of the disease and its fatal effects, viz: want of isolation of the patient, overcrowding the nick room, and to
five intercourse of the patient with uninfected persons.
Zymotic diseases. The table appended will explain the fluctuations and degree of fatality which have
accompanied some of the most important of these diseases.
During the last ten years the average annual number of deaths have been 107, and it is noteworthy that notwithstanding some increase of population and
the decline of one severe epidermic disease and the activity of another, only ninety two deaths have been
registered this year.
Diseases.
1863.
1869.
1870.
1871.
1872.
187S.
1874.
1875.
1876.
1877
Total.
Fever
12
15
13
9
12
4
9
13
4
8
99
Small Pox
6
3
5
23
31
3
0
1
0
12
84
Scarlatina
4
10
124
21
5
13
2
15
53
12
264
Measles
12
19
7
9
12
4
22
6
14
13
118
Whooping Cough
12
29
22
15
13
21
20
26
33
20
211
Diarrhœa
20
29
25
22
22
33
27
30
24
26
258
Diptheria
1
1
0
2
3
1
0
18
10
1
37
Varicella
0
0
0
0
1
0
0
0
0
0
1
67
106
196
101
99
79
80
109
143
92
1072
Fever. During the last ten years, ninety-nine deaths have occurred, including three cases of Typbus
and fire of the Typhod type which have been registered, since my last annual report the number of fatal case*
recorded for this year will then-fore be two below the aunual average.
Small Pox. In mv former annual statement I mentioned that only one death had been caused by this
disease within the previous three years; another epidemic has unfortunately visited us, which has occasioned
twelve deaths daring the year, and the disease is still existing.
Scarlatina has destroyed more lives in the last ten years than any other zymotie disease, twelve deaths
have occured since my last annual return, and as the disesie was then gradually declining the present visitation