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

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Kingston upon Thames 1893

[Report of the Medical Officer of Health for Kingston-upon-Thames]

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11
Influenza, and one case that was rather late in seeking
medical aid. Though the case mortality is rather high, the
death rate per 1000 is considerably below that of England
and Wales.
Puerperal Fever.
2 cases are recorded, with 1 death. The source of infection
was not traced.
Continued Fever.
1 case was recorded, but does not call for any comment.
Phthisis.
The death rate from this disease was about the average for
England and Wales. The greater number of deaths took
place in the Infirmary, and were those of Phthisis in
advancing years. This disease has now been fully
established to be due to a definite infection. Persons suffering
from this disease should be careful to avoid expectorating
in public places, except into cloths, or spitting pots, the
contents of which should be destroyed by burning on reaching
home. On a consumptive patient removing, or dying,
the room and its contents should be disinfected, and
where possible, whitewashed and re-papered. It should
be remembered that a tendency to this disease is increased
by impure air, so that consumptives should live in well
ventilated rooms, the windows being always kept slightly
open day and night, if there be no special means of ventilation.
Consumptives should not attend crowded assemblies,
such as Churches, Chapels, Theatres, &c.
Erysipelas.
One case was returned as arising after Vaccination. Erysipelas
when inoculated develops within three days; in the
present case it appeared after the vesicles were formed, and
was of the same character as any attack of this disease
would be that followed upon the improper treatment of a
wound. 4 other deaths from this disease are of no special
interest.