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

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Twickenham 1914

[Report of the Medical Officer of Health for Twickenham]

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52
prevalent, but the cases of diphtheria were considerably more
numerous, while in addition nine cases of typhoid fever were
notified.
Scarlet Fever. - Of the ninety-eight cases of scarlet fever,
thirty-nine occurred during the first half and fifty-nine during the
second half of the year ;

the notifications for each month being :—

January9July6
February7August8
March4September14
April6October12
May10November13
June3December6
3959
98

The cases of this disease, which was prevalent towards the end
of 1913, continued to be somewhat numerous, but the notifications
received during 1914 were twenty-one less than those of the
preceding year. No extensive or localized outbreak occurred, but
the majority of the cases were in the Central and East Wards.
Although successive cases arose among children attending
some of the public schools, no particular school was specially
involved. Slight cases of the disease, which had not been
recognised by the friends, were discovered on more than one
occasion and were doubtless the cause of many cases the origin of
which was otherwise inexplicable.
The type of disease was not, on the whole, of so mild a
character as in recent years, and several very septic cases were
admitted to the hospital, the one fatal case being of a particularly
virulent and hæmorrhagic character.
Diphtheria.—The number of cases notified has been forty
more than during the preceding year, cases occurring in each
month as will be seen by the following list: —
Diphtheria.—The number of cases notified has been forty
more than during the preceding year, cases occurring in each
month as will be seen by the following list: —