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 Stepney]
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91
It was ascertained, upon recent enquiries, her left leg is in iron splints and the
child cannot walk without them. She attends a local hospital three days a
week for massage and sunlight treatment.
Encephalitis
Lethargica
I received 3 notifications during the year. These all referred to females.
2 belonged to Mile End and 1 to Whitechapel. One patient was a scholar
aged 6 years. On investigating the case it was found that the patient had been
associated with another case of encephalitis lethargica. She had a recent
history of slight cough. On last visiting the case, the patient had made a
good recovery and was attending school. She is seen by the doctor at the
school every two months. Another case was that of a woman employed as a
scrubber. This patient had typical symptoms of acute encephalitis and she
died within six weeks of the onset of the disease. The third patient was a
housewife. The onset of her illness was two years previously when she was
supposed to have had bad influenza. She attended a Nerve Clinic during the
latter part of the year and there was no improvement. She is now in hospital.
The death-rate for the whole Borough was .017 per 1,000 of the population.
Cerebrospinal
Fever,
6 cases of this disease were notified—5 males and 1 female. 2 cases
recovered and 4 proved fatal.
1 occurred in Limehouse.
3 occurred in St. George-in-the-East.
2 occurred in Mile End Old Town.
One patient was that of a man 55 years of age. The routine serum
treatment was given, but the patient was moribund on admission to hospital
and he died within nine hours. Another case was a child aged 14 months.
She had typical symptoms, later developing a faint rash and signs of slight
paralysis. After discharge from a local hospital, she now attends there once
a month for massage. One child, aged 1 year, was in a serious condition on
admission to hospital. The child was discharged as cured and I am informed
that he is quite normal.
The death-rate for the whole Borough was .017 per 1,000 of the population.
Ophthalmia
Neonatorum
23 cases were notified, or 6 less than in the previous year. 5 belonged to
Limehouse, 2 to St. George-in-the-East, 13 to Mile End Old Town, and 3 to
Whitechapel.
No. of cases treated at home 12
,, ,, in hospital 11
Total number of cases in which vision was unimpaired 23
,, ,, ,, ,, impaired -
Total number of cases of total blindness -
Total number of deaths —