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

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Twickenham 1920

[Report of the Medical Officer of Health for Twickenham]

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51
Measles.
This disease is no longer compulsorily notifiable and
in consequence it is not possible to give the exact number
of cases, but by information received through the schools
and the nursing staff, it has been evident that there was a
marked prevalence in March, April, May and June.
The age and ward incidence are set out in table IV,
page 76, at the end of this report.
In all, 506 cases came to the knowledge of the department
and the majority of these were visited and verified by
the nursing staff. As only one case proved fatal, it may be
assumed that the type was mild.
Typhoid Fever.
Two cases of this disease occurred during the year, one
in July and one in November.
The first was a travelling railway official, who probably
contracted the disease outside the district. The case proved
fatal the day after the notification was received.
The other case was also apparently an isolated one
and beyond a history of the patient having partaken of
oysters on several occasions, no definite cause could be
ascertained.
As this patient could not be nursed at home, and as
there is no provision at the Twickenham Isolation Hospital
for the reception of cases of typhoid fever, the patient was
removed to the London Fever Hospital and treated there.
It should be noted that each case thus dealt with costs at
least £50.
In neither case was there any extension of the disease.
Encephalitis Lethargica.
One case of this disease was notified and notification
of the death of the patient was received at the same time.